Billing & Reimbursement Representative in United States at Jobgether
Explore Related Opportunities
Job Description
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Billing & Reimbursement Representative based in the United States.
This role sits within a high-volume healthcare revenue cycle environment supporting specialty pharmacy operations. You will play a key part in ensuring claims are accurately prepared, 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 healthcare reimbursement and claims management.
You will be responsible for managing end-to-end billing and reimbursement activities within a healthcare 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 flow 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 provide clear resolution support for patient account questions
- Support special projects and cross-functional initiatives related to accounts receivable optimization and process improvement
The ideal candidate brings experience in healthcare 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 healthcare revenue cycle operations preferred
- Strong understanding of healthcare, insurance, or pharmacy billing processes highly preferred
- High school diploma or GED required
- Proficiency with Microsoft Office tools including Outlook, Excel, 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 integrity and discretion when handling sensitive or confidential information
- Comfortable working in a hybrid remote model with occasional onsite presence for training and meetings
- Competitive compensation aligned with experience and market standards
- Comprehensive medical, dental, and vision insurance coverage
- Opportunities for professional growth within healthcare revenue cycle operations
- Flexible remote work arrangement with occasional onsite collaboration requirements
- Paid time off and holiday programs supporting work-life balance
- Access to tools, training, and resources to support career development
- Supportive and team-oriented work environment within a large healthcare organization.