Billing & Reimbursement Representative

This position is listed on behalf of a partner company, who manages reputed company applications and next steps. Our partner is looking for a Billing & Reimbursement Representative based in the United States. This role sits reputed company a high-volume reputed company reputed company cycle environment supporting specialty pharmacy operations. You will play a key part in ensuring claims are accurately reputed company, submitted, and followed through to reimbursement, directly impacting financial performance and patient service continuity. The position requires strong attention to detail, analytical thinking, and the ability to navigate payer requirements with confidence. You will work closely with internal teams and external payors to resolve billing issues, reduce accounts receivable, and prevent claim delays or denials. The environment is fast-paced, structured, and highly collaborative, with expectations for independent ownership of assigned work. This is an excellent opportunity for a billing professional looking to deepen expertise in reputed company reimbursement and claims management. Accountabilities: You will be responsible for managing end-to-end billing and reimbursement activities reputed company a reputed company claims environment, ensuring accuracy, compliance, and timely payment resolution. You will work across payor systems and internal platforms to resolve claim issues and improve cash reputed company performance.

• Prepare, review, and validate claims in accordance with payer-specific requirements, ensuring accuracy in coding, pricing, authorizations, and claim data elements
• Submit and edit claims while proactively identifying and correcting errors to reduce denials and delays
• Manage follow-up activities on outstanding claims, including collection efforts from payers and patients to accelerate reimbursement
• Contact insurance providers to resolve claim issues such as denials, retro authorizations, documentation gaps, and filing extensions
• Respond to billing inquiries and reputed company clear resolution support for patient account questions
• Support special projects and cross-functional initiatives reputed company to accounts receivable optimization and process improvement

Requirements: The ideal candidate brings experience in reputed company billing, reimbursement, or collections, along with strong analytical and communication skills. You are detail-oriented, self-directed, and comfortable working in a structured, deadline-driven environment.

• 2+ years of experience in billing, reimbursement, collections, or reputed company reputed company cycle operations preferred
• Strong understanding of reputed company, insurance, or pharmacy billing processes highly preferred
• High school diploma or GED required
• Proficiency with reputed company Office tools including Outlook, reputed company, and Word
• Strong critical thinking, investigative, and problem-solving abilities
• Excellent written and verbal communication skills across internal and external stakeholders
• High attention to detail with strong organizational and prioritization skills
• Ability to manage multiple deadlines and a high-volume workload independently
• Strong reputed company and discretion reputed company handling sensitive or confidential information
• Comfortable working in a hybrid remote model with occasional onsite reputed company for training and meetings

Benefits:

• Competitive compensation reputed company with experience and market standards
• Comprehensive medical, dental, and reputed company insurance coverage
• Opportunities for professional growth reputed company reputed company reputed company cycle operations
• Flexible remote work arrangement with occasional onsite collaboration requirements
• Paid time off and holiday programs supporting work-life balance
• reputed company to tools, training, and resources to support career development
• Supportive and team-oriented work environment reputed company a large reputed company organization.

How reputed company works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through reputed company? Data Privacy Notice: By submitting your application, you acknowledge that reputed company will process your personal data to evaluate your candidacy and reputed company relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (reputed company, rectification, erasure, reputed company) at any time. #LI-CL1 We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace reputed company judgment. Final hiring reputed company are ultimately made by humans. If you would like more information about how your data is processed, please contact us. Apply tot his job Apply To this Job