Reimbursement Specialist

🔥 15 hours ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $50k - $55k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 1%

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Lingraphica

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

Lingraphica is a company that provides advanced augmentative and alternative communication (AAC) devices and applications designed to help individuals with communication challenges. Their products include devices like TouchTalk, TouchTalk Plus, and MiniTalk, which facilitate communication and speech improvement. Lingraphica also offers therapy apps for conditions like aphasia and other communication impairments, providing resources like educational webinars and clinical guides. With extensive insurance coverage, they ensure accessibility and support for users and caregivers to try and utilize their devices effectively. The company aims to empower users to improve their quality of life through enhanced communication abilities.

📋 Description

• Manage the full reimbursement lifecycle, including claim preparation, submission, and account follow-up • Review claims and billing documentation for accuracy and completeness before submission • Submit claims through TrueSight, payer portals, and invoicing processes for insurance, reseller, alternate funding, and other non-traditional reimbursement channels • Monitor submitted claims and invoices for timely processing, payment, and resolution of outstanding balances • Follow up with insurance companies, patients, caregivers, resellers, and other external partners to resolve payment issues • Identify and correct claim rejections, billing errors, and submission issues • Investigate claim denials, underpayments, and outstanding balances and implement resolution strategies • Submit appeals and supporting documentation for denied or underpaid claims • Manage patient financial responsibilities, including payment plans, payment links, and payment resolution before shipment and case completion • Monitor and manage assigned Accounts Receivable to reduce aging balances and support collection goals • Maintain accurate documentation of billing, collection, and account activity • Collaborate with internal teams to identify trends, resolve reimbursement barriers, and improve billing and collection processes • Maintain compliance with payer requirements, reimbursement regulations, company policies, and HIPAA standards • Maintain current knowledge of payer requirements, billing processes, reimbursement guidelines, and industry regulations • Perform other duties as assigned

🎯 Requirements

• High School Diploma or equivalent • 1–3 years of experience in medical reimbursement, DME, medical billing, or healthcare revenue cycle management • 1–3 years of experience using medical billing or claims management software, such as TrueSight • 1–3 years of experience using payer and/or clearinghouse portals, such as MyCGS or Inovalon • Strong attention to detail, organization, problem-solving, and follow-up skills • Strong written and verbal communication skills • Ability to effectively manage multiple and shifting priorities in a fast-paced environment • Ability and willingness to travel within the U.S. up to 2 times per year for in-person team and all-company meetings, with possible additional travel for conferences and events • Experience managing both billing and collections activities within the reimbursement lifecycle • Experience working with patient balances, payment plans, and electronic payment solutions • Proficiency with Microsoft Office applications, particularly Excel and Outlook • Familiarity with TrueSight and/or Inovalon • Experience working with confidential or protected health information in a healthcare environment • Knowledge of HIPAA and healthcare privacy requirements • Experience with DMEPOS reimbursement, particularly Medicare DMEPOS • Authorization to work in the U.S., verified through E-Verify

🏖️ Benefits

• Comprehensive benefits package • Remote work from a home office • Travel opportunities for in-person team and all-company meetings, conferences, and events • Reasonable accommodations for individuals with disabilities • Inclusive and supportive workplace • Fair and equitable compensation practices • Career growth support