Reimbursement Specialist - Healthcare Appeals & Collections

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Reimbursement Specialist - Healthcare Appeals & Collections based in the United States.

As a Reimbursement Specialist II, you will help ensure healthcare providers and organizations receive accurate and timely reimbursement for services delivered.
You will manage healthcare accounts receivable, investigate unpaid and underpaid claims, and drive effective collection and resolution strategies.
The role requires strong knowledge of insurance policies, payer requirements, billing practices, and healthcare reimbursement processes.
You will research complex appeals, interpret payer-specific guidelines, and identify discrepancies against contracted rates and fee schedules.
Working with insurers, patients, providers, and other stakeholders, you will help resolve issues while maintaining clear and professional communication.
This remote position offers an opportunity to contribute to positive cash flow and efficient reimbursement operations within a collaborative healthcare environment.
Success requires organization, persistence, sound judgment, and the ability to remain focused while managing changing priorities and complex cases.