Reimbursement Specialist

Job not on LinkedIn

🔥 0 minutes ago

🎸 Tennessee – Remote

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💵 $22 - $27 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Logo of CleanSlate Centers

CleanSlate Centers

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤲 Charity

💰 $25M Venture Round - CleanSlate Centers on 2018-05

Healthcare • Healthcare Insurance • Charity

CleanSlate Centers is a nationwide provider of outpatient addiction treatment specializing in medication-assisted treatment (MAT) for opioid and alcohol dependence. They combine FDA-approved medications with behavioral therapies, coordinate with community healthcare and social services, and offer flexible payment options (Medicaid, Medicare, commercial insurance, self-pay). With over 65 centers across the U. S. , CARF accreditation, and reported outcomes (e. g. , 90% of patients completing 12 weeks tested negative for illicit opioids), CleanSlate focuses on accessible, evidence-based addiction care delivered by addiction medicine professionals.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

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

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