Position Overview
Description
We are looking for a Medical Reimbursement Specialist to join our client on a contract-to-hire basis in Langhorne, PA. This opportunity is ideal for someone who brings strong knowledge of insurance reimbursement, claims resolution, and payer compliance in a fast-paced medical billing environment. The person in this role will help improve collections performance by addressing outstanding claims, resolving denials, and supporting accurate reimbursement outcomes. You will work closely with internal teams to ensure billing activity is documented thoroughly and aligned with Medicare and commercial insurance requirements.
Responsibilities:
β’ Review outstanding accounts receivable and take timely action to secure payment on unresolved medical claims.
β’ Investigate denied or underpaid claims, identify patterns, and prepare well-supported appeals to improve reimbursement results.
β’ Apply Medicare and commercial payer guidelines to evalua...