What are the responsibilities and job description for the The Onyx Group - Medical Reimbursement Specialist position at TribeOne, LLC DBA the Onyx Group?
Job Title: Medical Reimbursement Specialist
Supervised by: Coordinator, Billing
Posting: Internal and External
Location: In-office (Bonaventure Circle)
Weekly Hours: Full-time
Position Overview:
We are seeking a detail-oriented and motivated Medical Reimbursement Specialist (MRS) to join our billing team. This individual will play a critical role in ensuring accurate, efficient billing processes and timely reimbursement from insurance providers. Responsibilities include managing unpaid claims, processing corrections, submitting appeals, and fostering strong relationships with patients, providers, and insurance representatives. The ideal candidate will be goal-driven, accurate, and aligned with our culture of humility, integrity, and service.
Key Responsibilities:
High School Diploma or equivalent.
Skills & Experience:
You must be able to sit or stand at a desk and work on a computer screen and phone for the majority of an eight (8) hour shift.
Supervised by: Coordinator, Billing
Posting: Internal and External
Location: In-office (Bonaventure Circle)
Weekly Hours: Full-time
Position Overview:
We are seeking a detail-oriented and motivated Medical Reimbursement Specialist (MRS) to join our billing team. This individual will play a critical role in ensuring accurate, efficient billing processes and timely reimbursement from insurance providers. Responsibilities include managing unpaid claims, processing corrections, submitting appeals, and fostering strong relationships with patients, providers, and insurance representatives. The ideal candidate will be goal-driven, accurate, and aligned with our culture of humility, integrity, and service.
Key Responsibilities:
- Accurately review, verify, and submit corrected claims to ensure complete and error-free processing
- Utilize clearinghouse tools to manage electronic payments and address claim errors
- Interpret insurance explanation of benefits (EOBs) and identify necessary follow-up actions
- Proactively manage aging reports, focusing on claims outstanding over 30 days
- Submit appeals and additional documentation to secure full reimbursement when applicable
- Coordinate medical records requests and respond to insurance company inquiries
- Communicate professionally with patients, payers, and providers to resolve billing issues
- Meet regularly with the Billing Coordinator and Team Lead to troubleshoot challenges and identify process improvements
- Attend department meetings and participate in ongoing training and education
- Maintain strict confidentiality in accordance with HIPAA and internal policy
- Embody "The Tribe Way" by serving others with humility, integrity, and conscious leadership
High School Diploma or equivalent.
Skills & Experience:
- Strong knowledge of medical billing, collections, and third-party payer procedures required
- At least 2 years of experience working in medical billing required
- Experience navigating multiple EMR systems. Proficiency with eClinicalWorks preferred.
- Experience navigating payer websites
- Proficiency with computer systems, and office equipment
- Strong organizational skills with excellent attention to detail
- Professional and friendly communication skills
- Ability to navigate challenging conversations, resulting in positive outcomes
- Ability to handle a multi-line phone system and multitask in a fast-paced environment
- Ability to adapt and expand skills to meet the billing needs of a fast-growing company.
- Problem solving skills required
You must be able to sit or stand at a desk and work on a computer screen and phone for the majority of an eight (8) hour shift.
