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.