Reimbursement Specialist

About Healthcare Provider Solutions Healthcare Provider Solutions is a growing healthcare company providing billing, financial, operational, educational, and clinical consulting to the home care and hospice industries. Our core services include home care and hospice billing and collections, receivable collection projects, clinical compliance chart reviews, operational reviews, and education through seminars and webinars. We are located in Nashville, TN, near the airport. Role Overview We are seeking a full‑time professional to work on our Home Health Non‑Medicare Posting. The ideal candidate has a minimum of 2 years of experience in Medicare Advantage and Commercial payer posting. Responsibilities & Expectations Post payments received from Non‑Medicare and other payers as required. Post for multiple clients in multiple EMRs. Read insurance contracts and validate payments accordingly. Perform write‑off requests as assigned and approved. Post patient payments and generate self‑pay invoices. Identify incorrectly paid and denied claims for the collections team. Adapt to change with ease. Critically review all payments received using HPS tools. Review EOBs to identify payment errors, denials, and low reimbursement. Perform month‑end reconciliations. Run and analyze payment logs for posting accuracy. Communicate with clients. Keep management informed of changes in billing requirements and denial codes. Participate in meetings with the Billing and Collections team. Fulfill additional performance responsibilities as assigned. Willing to adapt and learn other areas within the Revenue Cycle department. Requirements Minimum of 2 years of cash posting experience, preferably with Commercial or Non‑Medicare payers. Identify issues with payer setup and accuracy of tracking expected payments based on contracts. Efficient in Microsoft Office, including Outlook and Excel. Perform daily, weekly, and monthly reconciliations. Strong attention to detail and accuracy. Familiar with takebacks and offset posting. Excellent communication skills for internal and customer interactions. Strong organizational skills to track workload. Work independently and within a team. Identify trends and carrier issues relating to reimbursement. Experience with multiple EMR systems. Experience obtaining Remits and EOBs in Waystar and other portals. Must be able to read, write, and follow directions in English. Knowledge of basic math skills. Proficient with phone systems, copiers/scanners, fax, and email. Must be able to sit for at least eight hours per day and work at a computer. High School Diploma. Compensation and Benefits Hourly, 40 hours per week, full‑time, non‑exempt (M‑F, 8 AM - 4:30 PM CST). Paid Time Off (PTO) accruing from day one. 11 paid holidays plus 2 floating holidays annually. Company‑paid medical and life insurance upon eligibility. Dental, vision, and dependent medical coverage offered. Retirement plan with company match available immediately. Remote schedule. Why Healthcare Provider Solutions? We believe in working hard for our clients and ensuring employees feel respected and rewarded. HPS is growing, offering the rewarding challenge of performing at a high level with an emphasis on teamwork. Work with a supportive team dedicated to providing excellent service. Healthcare Provider Solutions is an equal opportunity employer committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic. #J-18808-Ljbffr Healthcare Provider Solutions