Revenue-Focused Reimbursement Specialist

ADP, Inc.; Visalia (CA); On-site; USD 60,000 - 78,000; Full time

Job summary

ADP, Inc. is seeking a Reimbursement Specialist in Visalia, CA to manage the end-to-end reimbursement process and ensure timely payments for services rendered. You will coordinate with insurers, patients, and internal teams to verify coverage and resolve denials.

The role requires 2+ years in medical billing or reimbursement, strong knowledge of payer policies, and excellent communication and organizational skills. Join a team focused on accurate payments and compliant revenue cycles.

Qualifications

• Minimum of 2 years experience in medical billing, coding, or reimbursement processing within the healthcare industry.
• Strong understanding of insurance claim processes, medical terminology, and healthcare reimbursement systems.
• Proficiency with electronic health record (EHR) systems and billing software.

Responsibilities

• Prepare and submit insurance claims accurately and in a timely manner to ensure prompt reimbursement.
• Review and analyze Explanation of Benefits (EOBs) and remittance advices to identify and resolve payment discrepancies or denials.
• Communicate with insurance companies, patients, and internal teams to clarify coverage details and resolve outstanding reimbursement issues.
• Maintain detailed records of claims, payments, denials, and appeals to support audit readiness and reporting requirements.
• Stay informed about changes in insurance policies, billing regulations, and reimbursement guidelines to ensure compliance and optimize revenue.

Skills

Insurance claim processes

Medical terminology

Communication skills

Attention to detail

Organization

Education

Associate degree or higher in healthcare administration

High school diploma or equivalent

Tools

EHR systems

Billing software

Job description

ADP, Inc. is seeking a Reimbursement Specialist in Visalia, CA to manage the end-to-end reimbursement process and ensure timely payments for services rendered. You will coordinate with insurers, patients, and internal teams to verify coverage and resolve denials.

The role requires 2+ years in medical billing or reimbursement, strong knowledge of payer policies, and excellent communication and organizational skills. Join a team focused on accurate payments and compliant revenue cycles.