Reimbursement Specialist

Job Title: Reimbursement Specialist

Location: Sarasota, FL, 34238

Duration: 11-Week Contract with Chances of Extension

Schedule: 8x5 days per week

Key Responsibilities

• Monitor insurance claim status and perform follow-up on unpaid, rejected, denied, or returned claims.
• Research and resolve billing discrepancies, denials, and reimbursement issues with commercial and managed care payers.
• Maintain accurate documentation of account activity, claim follow-up, and collection efforts.
• Work closely with clearinghouses, insurance companies, and internal teams to ensure timely payment resolution.
• Handle high-volume collections activities with strong attention to detail and urgency.
• Analyze account balances and determine appropriate actions for claim resolution and reimbursement recovery.
• Communicate professionally with payers and vendors regarding billing inquiries and payment issues.
• Utilize EMR and billing systems to update account information and manage workflow efficiently.
• Assist with billing-related reporting, audits, and additional revenue cycle projects as needed.

Requirements

• Minimum 1 year of current billing and collections experience required.
• Strong collections and insurance follow-up experience required.
• Commercial payer experience required.
• Hospice or Medicare Part A experience preferred.
• Experience working with clearinghouses and insurance denials management preferred.
• Homecare Homebase or WellSky (Kinnser) experience is a plus.
• Knowledge of medical terminology and healthcare billing workflows required.
• Proficiency with Microsoft Office Suite, billing applications, and data entry systems required.

Additional Preferred Skills

• Accounts payable processing
• 3-way matching
• Period-end accruals
• IRS Form W-9 and 1099 knowledge
• Vendor communication and issue resolution
• Dynamics GP Accounts Payable Module experience

Any personal information you provide will be collected, used, and retained solely for legitimate recruitment and employment-related purposes. Personal information collected during recruiting is limited to what is necessary to evaluate qualifications, and we are committed to data minimization, privacy, and providing equal employment opportunities. All information will be handled in accordance with applicable data protection laws and our privacy and information security policies.

Pride Global and its affiliates offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.

Equal Employment Opportunity

Pride Global and its affiliates are an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment

Pride Global and its affiliates are a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations

We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.