Numotion is a leading mobility and rehab equipment supplier headquartered in Brentwood, Tennessee. Committed to serving its customer's lifelong needs, Numotion
Reimbursement Specialist
Location
United States
Posted
3 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Reimbursement Specialist
Numotion
Role Description The Reimbursement Specialist will work to achieve cost effective accounts receivables performance as measured by payments, aging of receivables, and reduced DSO. The Reimbursement Specialist will report and make recommendations to improve applicable aspects of collections and unapplied payments, as directed by the Manager/Director. Take an active role in constantly improving the process. Communicate regularly/openly with RBC Director and other management. Key Responsibilities - Responsible for the collection’s accounts receivable on major accounts. - Collaborates with Billing & Collections Coordinator regarding assigned account collection activity. - Create and distribute weekly/monthly reports in required format as directed. - Recommend departmental education, training needs or process improvements related to reimbursement functions to Reimbursement Managers and RBC Director. - Analyze and document trends related to payer denials, underpayments, overpayments, fee schedule changes, and BCC workflow related to unapplied deposits and other billing and collections. - Prepare and respond to audits/appeals within the timeframes (as dictated by the payer). - Conduct required training, as needed. - Assist/conduct new hire onboarding for Billing and Collections Coordinators. - Communicate weekly tracking and progress on appeals/audits with management. - Utilize Numotion Leadership Principles to perform job with integrity, compliance, and values consistent with Numotion’s mission. - Adhere to employee or customer confidentiality and comply with Numotion’s policies and federal regulations. - Always provide excellent customer service for all internal and external customers of the operations. Provide solutions for customer concerns and continually focus on customer service as our top priority. Qualifications - High School Diploma and/or GED. - Minimum of three (3) years’ accounts receivable collections experience. - Minimum three (3) years’ experience within health care, durable medical equipment or related capacity. - Knowledge of MS Word, Excel, PowerPoint. Preferred Competencies and Qualifications - Ability to define problems, collect data, establish facts, and draw valid conclusions. - Superior communication skills, both written and verbal, to effectively address all levels within the organization. Physical Work Requirements - Frequent use of hands, wrists, fingers associated with computer equipment. - Must be able to lift up to 10 pounds. - Must be able to work overtime as needed. - Regularly required to sit or stand, reach, bend, stoop and move about the workplace. Benefits - Competitive compensation packages, including medical, dental and vision insurance. - Short-term and long-term disability. - 401k. - Life insurance.
Related Guides
Related Job Pages
More Reimbursement Specialist Jobs
Role Description The job profile for this position is Provider Relations Senior Analyst, which is a Band 3 Senior Contributor Career Track Role. This role is an individual contributor within the Nonpar Provider Contracting Team, supporting our enterprise strategy to deliver affordable, predictable, and simple health care. The position is responsible for: - Negotiating nonpar single case agreements - Ensuring compliance - Fostering strong partnerships with internal and external stakeholders Summary of Responsibilities: - Skillfully navigate reimbursement conversations with nonpar health care professionals while providing exceptional service - Negotiate reimbursement rates for nonpar health care providers - Utilize excellent verbal and written communication skills - Partner with internal teams to resolve complaints and disputes - Ensure compliance with policies, procedures, and regulatory requirements - Suggest process improvements and foster innovation - Utilize knowledge of medical terminology and standard reimbursement methodologies - Manage multiple priorities in a fast-paced environment Key Duties and Responsibilities: - Review and prioritize daily work assignments for timely single case agreement negotiation - Develop individual case pricing strategies and present to management and/or providers - Accurately document case outcomes in all systems and communicate results to stakeholders - Serve as team subject matter expert (SME) for highly complex cases - Support department goals contributing to organizational success - Communicate and collaborate effectively with internal and external partners - Adhere to all Compliance/Program Integrity requirements and HIPAA regulations - Promote professional growth through continuing education and skills development Qualifications - Minimum 2+ years of experience in healthcare contracting, provider relations, or reimbursement negotiations required - Single case agreement or billing negotiation experience required - Demonstrated experience in interpreting and applying reimbursement methodologies - Proficiency in medical terminology and healthcare industry standards - Strong negotiation and conflict resolution skills - Advanced proficiency in Microsoft Office Suite (Excel, Word, Outlook) - Ability to manage multiple priorities in a high-volume environment Requirements - If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload Benefits - Comprehensive range of benefits, with a focus on supporting your whole health - Health-related benefits including medical, vision, dental, and well-being and behavioral health programs - 401(k) - Company paid life insurance - Tuition reimbursement - A minimum of 18 days of paid time off per year - Paid holidays and leaves of absence - Eligibility to participate in an annual bonus plan
• Educating providers and their office staff on access and reimbursement topics using client-approved resources • Supporting appropriate patient access to the client’s products by resolving reimbursement and coverage challenges • Collaborating with other patient assistance and reimbursement support services offered by the client • Meeting directly with healthcare providers and their office staff to provide education on reimbursement and access considerations • Delivering interactive educational presentations at various provider sites of service
Senior Reimbursement Specialist
Merit Medical OncologyWe're on a Mission to Ease the Burden Cancer Places on Patients and Their Loved Ones. #BreastSurgery #PatientCare
• Executes and optimizes US reimbursement strategies that support business objectives across prioritized product and therapy areas. • Provides reimbursement and health policy guidance to product development, working in close partnership with clinical, regulatory, marketing, and sales teams. • Partners with HEOR to assess global evidence needs and support development of payer‑relevant data. • Analyzes reimbursement landscapes and contributes to coding, coverage, and payment pathway development including evaluation of relevant data analytics pertaining to health policy initiatives. • Educates internal leaders and field teams on reimbursement requirements and business impact. • Builds and maintains relationships with payers, government agencies, professional societies, and advocacy groups. • Identifies reimbursement barriers, develops initiatives, and supports implementation of programs that improve market access. • Designs and delivers reimbursement education for internal and external stakeholders. • Represents, as a leader, the expertise and perspective of the Reimbursement/Market Access function to the business divisions it supports. • Performs other duties, as required.
Senior Reimbursement Specialist
Merit Medical OncologyWe're on a Mission to Ease the Burden Cancer Places on Patients and Their Loved Ones. #BreastSurgery #PatientCare
• Supports execution of reimbursement strategies aligned with business priorities and product lifecycle needs • Provides reimbursement and health policy guidance to clinical, regulatory, marketing, and sales partners • Contributes to evidence planning by partnering with HEOR to identify payer‑relevant data needs • Analyzes reimbursement landscapes and supports development of coding, coverage, and payment pathways and internal and external communication tools • Educates internal teams on reimbursement requirements, payer trends, and implications for product adoption • Identifies reimbursement barriers and supports implementation of solutions to improve patient access • Develops and delivers reimbursement education for internal teams and external stakeholders • Performs other duties, as required



