Revenue Cycle Specialist: Insurance Denials & Payments

CBS Medical Billing & Consulting LLC; Exeter (NH); On-site; USD 55,000 - 75,000; Full time

Job summary

CBS Medical Billing & Consulting LLC is seeking an experienced Insurance Reimbursement Specialist to ensure claims are paid accurately and on time for orthotic and prosthetic (O&P) billing clients.

You will manage AR follow-up, analyze payer trends, and collaborate with clients to maximize revenue while maintaining compliant documentation across multiple billing platforms. You will also address denials and requests for additional information, driving improvements and client satisfaction.

Qualifications

• Experience in insurance reimbursement, AR follow-up, or denial management (O&P experience preferred)
• Solid understanding of payer requirements and the medical billing lifecycle
• Strong attention to detail, organization, and time-management skills
• Confidence navigating multiple billing platforms and payer portals
• Persistent, curious, and solution-oriented mindset
• Excellent communication and collaboration skills

Responsibilities

• Handle aging accounts (30+ days) for clients using payer calls, online portals, and claim status tools.
• Investigate and resolve denials, underpayments, payment delays, and requests for additional documentation.
• Execute reimbursement and denial management procedures according to client contracts and internal protocols.
• Identify accounts over 90 days and escalate for strategic review.
• Spot recurring denial patterns, payer trends, and potential compliance risks.
• Share insights with the Client Success Manager to improve billing performance.
• Collaborate with internal teams to proactively reduce denials.
• Accurately document all follow-up actions across multiple billing platforms.
• Maintain proficiency in client-specific billing software and payer portals.

Skills

Insurance reimbursement

AR follow-up

denial management

payer requirements

medical billing lifecycle

attention to detail

organization

time-management

communication

collaboration

Tools

Billing software

Payer portals

Job description

CBS Medical Billing & Consulting LLC is seeking an experienced Insurance Reimbursement Specialist to ensure claims are paid accurately and on time for orthotic and prosthetic (O&P) billing clients.

You will manage AR follow-up, analyze payer trends, and collaborate with clients to maximize revenue while maintaining compliant documentation across multiple billing platforms. You will also address denials and requests for additional information, driving improvements and client satisfaction.