Reimbursement Specialist

Collections Specialist (Chicago, IL; Malvern, PA)

Join a fast-paced revenue cycle team where you’ll take the lead in resolving complex insurance claims, driving timely reimbursements, and making a direct impact on financial performance and operational success.

Your role:

• Manage denied and rejected insurance claims by researching root causes, correcting claim issues, and following up with payers to secure timely reimbursement. Review EOBs, payment variances, aging reports, and negative balances to ensure accurate claim processing.

• Work directly with insurance payers to resolve denials, authorization issues, filing errors, and reimbursement discrepancies. Escalate recurring payer trends and recommend process improvements or solutions to leadership.

• Verify patient eligibility and benefits, including qualifying diagnoses, prior testing, and authorization requirements. Interpret ...