Remote Reimbursement Specialist - Pharma Claims & AR Expert

Advanced Rx Management; Florida; Remote; USD 52,000 - 76,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Flexible spending account

Health insurance

Life insurance

Paid time off

Referral program

Vision insurance

Job summary

Advanced Rx Management, a Sunrise, Florida-based pharmaceutical services company, seeks a Reimbursement Specialist to own the full revenue cycle for Workers' Compensation and Personal Injury prescription claims. You will drive timely reimbursement, reduce AR aging, and ensure accurate billing across a national client base.

The ideal candidate is analytical, detail-oriented, and proactive, with experience in appeals, denials management, and payer communications.

Qualifications

• Minimum 2 years of medical billing and collections experience.
• Workers' Compensation billing experience preferred.
• Strong knowledge of EOB interpretation and ICD-10 coding.
• Experience with appeals and insurance carrier follow-up.
• Ability to analyze denials and trends.

Responsibilities

• Manage full billing and collections for a defined book of Workers' Compensation and Personal Injury prescription claims.
• Maintain and thoroughly work a minimum of 40+ patient accounts, ensuring progress toward resolution.
• Review aging reports daily to reduce 60/90/120+ day AR and accelerate reimbursement.
• Analyze EOBs and denials to identify root causes and execute resolution strategies.
• Prepare and submit timely appeals with complete documentation.
• Communicate professionally with carriers, adjusters, attorneys, and internal teams to drive resolution.

Skills

Analytical thinking

Problem solving

Attention to detail

Communication skills

Independent worker

Multitasking

Tools

Microsoft Excel

Job description

Advanced Rx Management, a Sunrise, Florida-based pharmaceutical services company, seeks a Reimbursement Specialist to own the full revenue cycle for Workers' Compensation and Personal Injury prescription claims. You will drive timely reimbursement, reduce AR aging, and ensure accurate billing across a national client base.

The ideal candidate is analytical, detail-oriented, and proactive, with experience in appeals, denials management, and payer communications.