01Overview
Are you a financial problem-solver who loves cracking insurance puzzles Do you thrive on ensuring claims are paid correctly, resolving denials, and keeping revenue flowing smoothly
Were looking for an experienced
Insurance Reimbursement Specialist to join our team someone who brings tenacity, accuracy, and a solution-focused mindset to the revenue cycle. If you have experience in orthotic and prosthetic (O&P) insurance billing, follow-up, and denial management, youll feel right at home.
In this role, youll be the key player in ensuring claims are reimbursed accurately and on time, spotting payer trends, and helping clients maximize revenue all while providing critical support for patients accessing O&P care.
What You'll Do
Insurance Follow-Up and Denial Management
Work all aging accounts (30+ days) for assigned clients using payer calls, online portals, and claim status tools
Investigate and resolve denials, underpayments, payment delays, and requests for additional documentation
Execute reimbursement and denial management procedures according to client contracts and internal protocols
Identify accounts over 90 days and escalate for strategic review
Trend Analysis and Communication
Spot recurring denial patterns, payer trends, and potential compliance risks
Share insights and tips with the Client Success Manager to improve billing performance
Collaborate with internal teams to proactively reduce denials
Documentation and Software Use
Accurately document all follow-up actions across multiple billing platforms
Maintain proficiency in client-specific billing software and payer portals
Keep detailed, audit-ready records of reimbursement activity
Our Ideal Candidate
Experience in
insurance reimbursement, AR follow-up, or denial management (O&P experience preferred)
Solid understanding of payer requirements and the medical billing lifecycle
Strong attention to detail, organization, and time-management skills
Confidence navigating multiple billing platforms and payer portals
Persistent, curious, and solution-oriented mindset
Excellent communication and collaboration skills
If youre ready to bring your insurance reimbursement skills to a team that values precision, impact, and collaboration, we want to hear from you.
Please Note: We are not working with staffing agencies or third-party recruiters. Direct applicants only.
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