Reimbursement Specialist I

Reimbursement Specialist - Remote (Full Time)

Overview:

The Reimbursement Specialist I is assigned a group of dialysis facilities and is responsible for the accurate and efficient billing and collecting of health insurance payments from insurance carriers. The Reimbursement Specialist coordinates, documents, and communicates with health insurance representatives regarding proper insurance payments in accordance with policies and procedures and current federal, state, and local standards, guidelines, and regulations.

Essential Functions:

• Accurately collects revenue for respective financial classes.
• Obtains and tracks claim status via phone and online portals.
• Composes and follows up on claims appeals.
• Identifies, addresses, submits, and processes adjustments.
• Reviews and understands Explanation of Benefits (EOBs).
• Builds effective relationships with insurance carriers and representatives.
• Allocates coinsurance and deductibles within the applicable database.
• Reviews and addresses incoming mail correspondence.
• Communicates with patients regarding insurance checks.
• Completes and maintains facility reports on a regular basis and reviews for any issues.
• Maintains strict confidentiality of patient personal information and maintains HIPAA compliance.

Required Education and Experience

• Bachelor's degree in business or healthcare management strongly preferred.
• 0-2 years of experience as a Reimbursement Specialist, or equivalent work experience as an insurance collector.
• Experience in dialysis and/or healthcare is preferred.
• Proficiency in Microsoft Office Suite.
• Excellent customer service skills, demonstrated ability to actively contribute as a team player, and superior attention to detail.

At Innovative Renal Care (IRC), our comprehensive benefits program is a key component of our total compensation package. It includes a 401(k) match, healthcare coverage, and a broad range of other benefits that compare favorably within our industry and marketplace. Learn more atIRC Benefits and Perks

About Innovative Renal Care

We are one of the largest dialysis service providers in the U.S., partnering with local physicians to deliver high-quality care to patients with ESRD and other kidney conditions. Our mission is to be the trusted experts and preferred partners for patients, physicians, and healthcare providers by delivering best-in-class care, service, and solutions.

Our Values: I CARE

Integrity & Innovation - Earn trust by keeping promises and embracing new solutions.

Compassion - Treat patients, families, and colleagues with respect and empathy.

Accountability - Take ownership and recognize the contributions of others.

Results-Driven - Strive for excellence and exceed expectations.

Everyone Counts - Foster diversity, equity, teamwork, and collaboration.

Why Join IRC?

• Career Growth - Be part of a values-driven team making a meaningful impact.
• Competitive Compensation - Salaries continually benchmarked against market and trends.
• Enhanced PTO - Your most recent dialysis experience counts toward PTO accrual.
• Team Culture - Thrive in a supportive environment that values innovation, accountability, and compassion.

Innovative Renal Care is an equal opportunity and a drug free workplace.All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origins, citizenship, disability or protected veteran status.All applicants will be subject to a drug screening and background check upon acceptance of an offer.

*IRC will only contact you from careers@innovativerenal.comor team members with an @innovativerenal.comemail address. Please be cautious and aware of spam or fraudulent emails soliciting personal or banking information. IRC will not request this information via email.

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