Reimbursement Representative

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.

• 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.

• 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.

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

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.