Reimbursement Specialist
$22 - $27 per hourCleanSlate
Reimbursement Specialist
Fully Remote • CleanSlate Centers Billing - Nashville, TN 37214
Overview
Salary Range $22.00 - $27.00 Hourly Position Type Full Time Travel Percentage None Category Health Care
Description
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
$20 per hour
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$54 - $60.23 per hour
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