Reimbursement Representative

Job Description

Job Description

Reimbursement Associate

Are you a detail-driven insurance expert who thrives on solving problems and getting claims paid?

Join our dynamic team as a Reimbursement Associate and help drive revenue accuracy while ensuring compliance with Medicare and insurance policy requirements with our family-owned, prosthetics and orthotics family-owned company in Langhorne, PA.

Key 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.

Qualifications:

• 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.

Why Join Us?

• Collaborative and supportive work culture
• Opportunities for growth and professional development
• Competitive salary and benefits package

Ready to take the next step in your AR career?

Apply today and help us ensure every claim gets the attention it deserves!

We offer great pay to work in great place. If you are someone looking to use your talents to help patients meet their needs, then we want to hear from you.

This is a drug-free workplace and all job offers will be contingent on passing a drug screen and a favorable pre-employment background check.