Insurance Reimbursement Specialist
Are you a financial problem-solver who loves cracking insurance puzzles? Do you thrive on ensuring claims are paid correctly, resolving denials, and keeping revenue flowing smoothly? We’re looking for an experienced Insurance Reimbursement Specialist to join our team — someone who brings tenacity, accuracy, and a solution-focused mindset to the revenue cycle. If you have experience in orthotic and prosthetic (O&P) insurance billing, follow-up, and denial management, you’ll feel right at home. In this role, you’ll be the key player in ensuring claims are reimbursed accurately and on time, spotting payer trends, and helping clients maximize revenue — all while providing critical support for patients accessing O&P care.
What You'll Do
Insurance Follow-Up and Denial Management Work all aging accounts (30+ days) for assigned clients using payer calls, online portals, and claim status tools Investigate and resolve denials, underpayments, payment delays, and requests for additional documentation Execute reimbursement and denial management procedures according to client contracts and internal protocols Identify accounts over 90 days and escalate for strategic review Trend Analysis and Communication Spot recurring denial patterns, payer trends, and potential compliance risks Share insights and tips with the Client Success Manager to improve billing performance Collaborate with internal teams to proactively reduce denials Documentation and Software Use Accurately document all follow-up actions across multiple billing platforms Maintain proficiency in client-specific billing software and payer portals Keep detailed, audit-ready records of reimbursement activity Our Ideal Candidate Experience in insurance reimbursement, AR follow-up, or denial management (O&P experience preferred) Solid understanding of payer requirements and the medical billing lifecycle Strong attention to detail, organization, and time-management skills Confidence navigating multiple billing platforms and payer portals Persistent, curious, and solution-oriented mindset Excellent communication and collaboration skills If you’re ready to bring your insurance reimbursement skills to a team that values precision, impact, and collaboration, we want to hear from you. Please Note: We are not working with staffing agencies or third-party recruiters. Direct applicants only.