Claims & Reimbursement Specialist

BLESSINGS4EVER HOME CARE AGENCY LLC • Philadelphia, PA

43d • Onsite

About The Position

The Claims & Reimbursement Specialist will be responsible for managing claims and reimbursements. This role requires strong attention to detail, excellent communication skills, and the ability to work independently and collaboratively. The specialist will ensure accurate record-keeping, manage multiple priorities, and comply with regulatory guidelines.

Requirements

• High school diploma or equivalent required.
• Proficiency with Microsoft Windows and Microsoft Office, including Excel, Word, and PowerPoint.
• Strong interpersonal, verbal, and written communication skills.
• Strong attention to detail with the ability to maintain accurate and organized records.
• Demonstrated organizational, analytical, and problem-solving skills.
• Ability to manage multiple priorities, meet deadlines, and work independently.
• Ability to collaborate effectively in a team environment with a positive, customer service-oriented approach.
• Professional telephone and business communication skills.
• Strong writing skills with appropriate grammar, punctuation, and spelling.
• Ability to understand and comply with regulatory guidelines and organizational policies and procedures.
• Ability to identify discrepancies and escalate billing or documentation concerns appropriately.

Nice To Haves

• Experience with HHAeXchange EMR preferred.
• Knowledge of Home and Community-Based Services programs preferred.
• Medical billing experience: 3 years preferred.
• Microsoft Excel experience: 3 years preferred.
• Spanish language proficiency preferred.

Responsibilities

• Manage claims and reimbursements.
• Maintain accurate and organized records.
• Manage multiple priorities and meet deadlines.
• Collaborate effectively in a team environment.
• Understand and comply with regulatory guidelines and organizational policies and procedures.
• Identify discrepancies and escalate billing or documentation concerns appropriately.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree