Reimbursement Specialist

MPOWERHealth • San Antonio, TX

4d • Hybrid

About The Position

Join MPOWERHealth as a Reimbursement Specialist – Where Your Skills Drive Healthcare Forward! Are you a natural problem-solver who thrives on turning challenges into opportunities? Do you enjoy collaborating with a passionate team and making a direct impact on healthcare providers' success? If so, your next great opportunity is here at MPOWERHealth! Why Choose MPOWERHealth? For over a decade, MPOWERHealth has empowered independent musculoskeletal physicians with cutting-edge clinical services, back-office solutions, and advanced technology. We simplify the complex, anticipate challenges, and guide our clients toward a brighter future. With our innovative analytics and expert teams, we transform obstacles into opportunities. Responsibilities Your Role: Reimbursement Specialist (In-Office) In this essential role, you’ll help drive our revenue cycle by navigating insurance appeals, resolving outstanding balances, and ensuring timely reimbursements. You’ll be part of a collaborative team where your contributions truly matter. Schedule That Fits You: Fully onsite for the first 90 days, with a hybrid option upon meeting performance goals. Flexible start time: 6:00 AM – 10:00 AM. 30-minute or 1-hour lunch break between 11:00 AM – 1:00 PM. 8-hour workday, Monday to Friday. Plan time off in advance for a healthy work-life balance! What You'll Conquer: Pursue outstanding insurance claims with determination and persistence. Draft and submit persuasive appeal letters to overturn denials. Decode Explanation of Benefits (EOBs) to identify and resolve discrepancies. Collaborate with insurers to file appeals and negotiate resolutions. Share insights and performance updates with the Collections Manager. Provide solutions to management for recurring payer issues.

Requirements

• 2+ years of medical collections experience.
• Proficiency with EOBs, CPT, and ICD-10 codes.
• Knowledge of HIPAA and healthcare regulations.
• Detail-oriented with fast and accurate data entry skills.
• Strong problem-solving and communication skills.
• High school diploma or equivalent required.

Responsibilities

• Pursue outstanding insurance claims with determination and persistence.
• Draft and submit persuasive appeal letters to overturn denials.
• Decode Explanation of Benefits (EOBs) to identify and resolve discrepancies.
• Collaborate with insurers to file appeals and negotiate resolutions.
• Share insights and performance updates with the Collections Manager.
• Provide solutions to management for recurring payer issues.

Benefits

• Multiple medical plan options + HSA with company contributions.
• Dental and vision coverage for you and your family.
• 401(k) with company match.
• Paid vacation, sick time, and company holidays.
• Company wellness program with health incentives.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED