Reimbursement Specialist - Healthcare

Philips•Plymouth, MN

9d•Onsite

About The Position

Join the S&RC RespirTech team as a Reimbursement Specialist, where you'll manage insurance claim follow-up, resolve payment issues and denials, and help ensure timely reimbursement for respiratory care products and services. This is an office role. We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others.

Requirements

High school diploma or vocational education.
2+ years of experience in Medical Billing and Invoicing, Accounts Receivable/Payable, Contract Management or equivalent.
Knowledge of insurance payers, including Medicare, Medicaid, Blue Cross Blue Shield and commercial plans.
Experience managing medical claim denials, appeals, and recoupments.
Knowledge of insurance eligibility verification, benefits, and prior authorizations.
Analytical and detail-oriented professional with strong problem-solving and communication skills.
Ability to thrive working independently in a fast-paced environment while maintaining a collaborative and adaptable team-focused mindset.
US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future.

Responsibilities

Follow up on outstanding insurance claims to secure accurate and timely payment from commercial, government, and private-pay accounts.
Monitor claim status and work to reduce aging accounts receivable.
Investigate, resolve, and respond to claim denials, unpaid claims, and payer correspondence.
Prepare and submit appeals within payer deadlines and requirements.
Review payment information, including Explanation of Benefits (EOBs) and Remittance Advice (RA), and process necessary adjustments, overpayments, and balance corrections.
Communicate and collaborate with insurance carriers and internal teams to resolve reimbursement issues, update insurance information, and support timely collections.
Maintain compliance with company policies, HIPAA requirements, and reimbursement procedures.
Support special projects, process improvements, and team training initiatives.