Insurance Reimbursement Specialist
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CBS Medical Billing & Consulting LLC
Exeter, NH, US
Summary
The specialist will manage aging accounts, resolve insurance denials, and investigate underpayments to ensure accurate and timely reimbursement. They will also analyze payer trends and collaborate with internal teams to improve billing performance and reduce future denials.
Job Description
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.
At CBS, we revolutionize healthcare practice management with our comprehensive medical billing and compliance services. With over three decades of specialized experience in compliance management, our team of certified billing and coding experts tackles the challenges that plague today's providers.
Our full-service approach encompasses:
*Cutting-edge medical billing solutions
*Rigorous compliance audits
*Streamlined revenue cycle management
*Tailored practice management support
We pride ourselves on our 99% success rate in compliance audits and our ability to secure payments within 15 days on average. Our 98% denial overturn rate speaks volumes about our commitment to maximizing your practice's financial health.
Partner with CBS to optimize your revenue, ensure compliance, and free yourself to focus on what matters most – your patients. Let us be the missing piece in your practice's success story.
Founded
2010
Company size
51-200 employees
Industry
Business Consulting and Services
Org type
Privately Held
Headquarters
Exeter, NH
At CBS, we revolutionize healthcare practice management with our comprehensive medical billing and compliance services. With over three decades of specialized experience in compliance management, our team of certified billing and coding experts tackles the challenges that plague today's providers.
Our full-service approach encompasses:
*Cutting-edge medical billing solutions
*Rigorous compliance audits
*Streamlined revenue cycle management
*Tailored practice management support
We pride ourselves on our 99% success rate in compliance audits and our ability to secure payments within 15 days on average. Our 98% denial overturn rate speaks volumes about our commitment to maximizing your practice's financial health.
Partner with CBS to optimize your revenue, ensure compliance, and free yourself to focus on what matters most – your patients. Let us be the missing piece in your practice's success story.
Founded
2010
Company size
51-200 employees
Industry
Business Consulting and Services
Org type
Privately Held
Headquarters
Exeter, NH