Reimbursement Specialist

At CleanSlate Centers , our mission is to save lives and restore hope for individuals affected by addiction and mental health challenges. As a national leader in outpatient addiction medicine and behavioral healthcare, we combine evidence-based treatment with compassion, helping patients reclaim their lives and rebuild their futures. Every team member-whether in clinical care, operations, or billing-plays a vital role in supporting that mission.

About the Role:
We're seeking an experienced and detail-oriented Reimbursement Specialist to join our billing team. In this role, you'll manage the full revenue cycle process, with a focus on resolving claim rejections, denials, and patient billing inquiries. You'll play a key role in ensuring accurate, timely reimbursement for medical and behavioral health services while helping maintain the financial integrity of the organization.

What You'll Do:

• Review and resolve claim denials and rejections according to payer-specific guidelines
• Correct and reprocess denied claims and file appeals as necessary
• Respond to billing questions via email, phone, and mailed correspondence
• Review zero-pay Explanation of Benefits (EOBs) and take appropriate action
• Manage patient billing, including payment plans, statement generation, and follow-up calls
• Identify and communicate payer trends and recommend process improvements
• Collaborate with the billing team to ensure clean claims and accurate submissions
• Monitor Accounts Receivable (A/R), denial trends, eligibility, and refund processes
• Ensure compliance with payer contracts, privacy laws, and internal policies
• Maintain accurate documentation of claim activity and resolution
• Contribute to special projects and team initiatives as assigned

What We're Looking For:

• High School Diploma or equivalent required; additional education in healthcare or business preferred
• 3-5 years of experience in healthcare revenue cycle management or reimbursement
• Strong understanding of insurance billing, payer policies, and denial management
• Knowledge of behavioral health billing and carve-out plans preferred
• Proficiency with Microsoft Office and electronic claim submission systems
• Excellent problem-solving, communication, and documentation skills
• Ability to work independently and collaboratively in a remote environment
• High attention to detail and ability to manage multiple priorities

Why Join Us?

• Monday-Friday schedule - no nights or weekends
• Remote-friendly work environment with minimal travel
• Competitive pay and comprehensive benefits package
• Generous PTO, floating holiday, and paid company holidays
• Medical, dental, and vision insurance + 401(k) with company match
• Company-paid life and disability insurance