Reimbursement Specialist

Job Description

Job Description

Reimbursement Specialist

 

Pride Health is hiring a Home Health Reimbursement Specialist for one of its clients in Florida.

This is an 11-week contract with the possibility of an extension with competitive pay and benefits.

 

Location – Sarasota, FL - 34238

Length of assignment – 11 weeks (Possibility of an extension)

Pay range - $22 - $25 per hour.

Shift / Schedule – Mon – Fri 8*5.

 

Job Summary

We are seeking a Reimbursement Specialist with strong experience in medical billing and collections to support home health reimbursement operations. The ideal candidate will be responsible for managing claim follow-up, resolving denials and rejections, and ensuring timely reimbursement from commercial and insurance payers.

 

Requirements

·         Monitor and follow up on insurance claims, denials, and rejections

·         Perform collections activities with commercial payers and insurance providers

·         Research billing issues and resolve payment discrepancies

·         Document account activity accurately and maintain detailed records

·         Work with clearinghouses and billing systems to process claims efficiently

·         Collaborate with team members while independently managing assigned accounts

 

Requirements

·         High School Diploma or GED required

·         Minimum 1 year of medical billing and collections experience

·         Commercial payer experience required

·         Strong communication, follow-up, and critical thinking skills

·         Knowledge of medical terminology and billing applications

·         Proficiency in Microsoft Office and computer systems

·         Ability to type at least 30 WPM

Skills Required: -

·         Accounts payable processing

·         Period-end accruals

·         3-way matching

·         IRS Form W-9 knowledge

·         IRS Form 1099 reporting.

 

Pride-Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.

Equal Employment Opportunity
Pride-Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment
Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations
We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.  

Only applicable for San Francisco Candidates:  Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation. Company Description

Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors.

Equal Employment Opportunity
[Hiring Entity Name] is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment
[Hiring Entity Name] is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations
We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Company Description

Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors. \r\n\r\nEqual Employment Opportunity\r\n[Hiring Entity Name] is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.\r\n\r\n \r\n\r\nFair Chance Employment\r\n[Hiring Entity Name] is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.\r\n\r\n \r\n\r\nAccommodations\r\nWe are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.