Billing Specialist
Reimbursement Specialist I (Remote – PST Hours Required)
📍 Location: Remote (Must reside in PST time zone)
🕒 Schedule: Monday–Friday | 7:30 AM – 4:00 PM PT (flexible start between 6 AM – 9 AM PT)
About the Role
We are seeking a detail-oriented Reimbursement Specialist I to join our team. In this role, you will be responsible for billing and collections of outstanding balances across commercial, government, and managed care payors.
This position requires strong analytical skills, the ability to interpret complex payor contracts, and a proactive approach to resolving reimbursement issues.
Key Responsibilities
- Perform billing and collections for assigned accounts
- Follow up on unpaid claims with commercial and government payors
- Interpret payor contracts and calculate expected reimbursements
- Identify, document, and escalate payor-related issues
- Submit paper claims, appeals, and refund requests as needed
- Maintain accurate account documentation and updates in system
- Communicate professionally with payors via phone and online portals
Required Qualifications
- High School Diploma, GED, or equivalent
- Minimum 2 years of hospital billing and collections experience
- Hands-on experience with Epic (billing/collections functions)
- Experience billing commercial payors
- Proficiency in Microsoft Excel, Word, and Outlook
- Experience with paper claims, appeals, and refund processes
- Ability to work PST hours in a remote environment
Preferred Skills
- Strong attention to detail and problem-solving abilities
- Excellent communication and follow-up skills
- Ability to work independently and manage workload effectively