Reimbursement Specialist

Location: Victoria

Job Description

Reimbursement Specialist
Sarasota, FLM-F Day Time Hours
Our client is seeking experienced and motivated Medical Billing & Collections Specialists to join a busy healthcare revenue cycle team. These positions are ideal for professionals who thrive in a fast-paced environment and have a strong understanding of healthcare billing processes, claims management, collections, and reimbursement workflows. The ideal candidates will be detail-oriented problem solvers with strong critical thinking abilities and a proven background working with insurance claims, CPT coding, accounts receivable, and accounts payable functions.

This is an excellent opportunity for individuals who enjoy working independently while contributing to a collaborative and high-performing team focused on accurate billing, timely collections, and revenue optimization.
Schedule

Full-time

Monday through Friday

40 hours per week

Responsibilities

Process and manage medical claims billing for insurance and third-party payers.

Review and resolve claim denials, rejections, and payment discrepancies.

Perform insurance and patient collections follow-up to ensure timely reimbursement.

Work accounts receivable aging reports and maintain accurate account documentation.

Assist with accounts payable functions related to billing and reimbursement processes.

Apply knowledge of CPT codes, billing guidelines, and payer requirements to ensure claim accuracy.

Research and resolve complex billing issues using critical thinking and problem-solving skills.

Maintain detailed records of account activity, collection efforts, and payment status updates.

Collaborate with internal departments and insurance representatives to resolve outstanding balances.

Ensure compliance with healthcare billing regulations and company policies.

Job Requirements

Qualifications

Strong experience in medical billing and healthcare collections.

Working knowledge of claims processing, CPT coding, accounts receivable, and accounts payable.

Ability to manage multiple priorities in a fast-paced work environment.

Strong critical thinking, analytical, and problem-solving skills.

Excellent communication and customer service abilities.

Proficiency with Microsoft Office Suite and medical billing software systems.

Strong organizational skills and attention to detail.

Ability to work independently and within a team setting.

Preferred Qualifications

Experience with insurance follow-up and denial management.

Previous experience in healthcare revenue cycle management.

Familiarity with Medicaid, Managed Care, commercial insurance, and private payers.

Experience with electronic medical records and billing platforms.