Medical Reimbursement Specialist

Lawall Prosthetics and Orthotics Services•Langhorne, PA

2d•Onsite

About The Position

The Medical Reimbursement Specialist plays a key role in the revenue cycle by ensuring accurate and timely reimbursement for services rendered. This position works closely with insurance payors to resolve claim issues, reduce denials, and support overall financial performance.

Requirements

Proven experience in medical billing/accounts receivable, preferably in a high-volume setting.
Strong understanding of Medicare regulations and payer-specific guidelines.
Excellent written communication skills, especially in crafting appeals.
Advanced proficiency in Microsoft Excel for tracking and reporting AR data.
Demonstrated problem-solving skills and attention to detail.
Knowledge of medical terminology, HCPCS codes, and modifier usage.
Team-oriented mindset with a strong sense of accountability and goal achievement.

Responsibilities

Monitor and manage aged accounts receivable, focusing on claim follow-up and resolution.
Analyze denial trends and initiate corrective action, including writing effective appeals.
Collaborate across departments to meet team goals and improve cash collections.
Interpret and apply Medicare and commercial insurance policies accurately.
Utilize knowledge of HCPCS codes, modifiers, and medical terminology to resolve billing issues.
Maintain detailed documentation and ensure compliance with all payer requirements.