Reimbursement Specialist

Description

Position Summary

The Reimbursement Specialist (RS) is responsible for resolving outstanding insurance claims and ensuring timely and accurate reimbursement. This role requires in-depth knowledge of insurance billing, payor appeal processes, and denial management. This position is full time and remote, with level (Specialist or Senior Specialist) determined based on your experience.

 

What you’ll be doing:

• Manage assigned accounts receivable (AR) by following up with insurance companies to secure expected reimbursement, including outbound calls, payor portal activity, and other follow-up methods.
• Process insurance appeals including submission, tracking, reporting and evaluation of outcomes to determine next steps and improve results.
• Research and respond to patient and payor inquiries related to billing issues, claim status, and updates.
• Ensure the accuracy, completeness, and integrity of billed claims.
• Identify and communicate payor trends, including researching, quantifying, and articulating operational and financial impact.
• Review, analyze and interpret explanation of benefits (EOBs).
• Provide administrative support as needed, including data entry, cash posting, customer service support.
• Maintain compliance with all applicable laws and regulations related to billing, collections, refunds, HIPAA, and PHI.
• Performs other duties as required.

Requirements

What you’ll need:

 

Knowledge, Skills & Experience:

• 2+ years of experience within revenue cycle management; laboratory billing experience preferred but not required.

• Proficiency with laboratory billing platforms (e.g., Telcor, Quadax, XiFin) or similar clinical billing systems.
• Strong working knowledge of healthcare billing codes (CPT, ICD-10, HCPCS) and insurance practices.
• Excellent written and verbal communication skills.
• Ability to work independently while also collaborating effectively within a team environment.
• Demonstrated attention to detail and strong organizational skills.
• Knowledge of HIPAA and PHI concepts with the ability to maintain confidentiality.

 

Education, Certifications, and Licensures:

• High School diploma or general education degree required.
• Related coursework or education (e.g., billing certificate, associate’s degree, or bachelor’s degree) with a focus on billing or related field preferred.

Other

• This is a remote position.

Summary

Grow Your Career With Us

CND Life Sciences is a patient and employee-centric, future-focused organization. We know there is a patient hoping for answers behind every Syn-One test we perform, and this knowledge drives us day in and day out to be our best. We are dedicated, driven, and passionate with a strong sense of community and team spirit.

CND offers plenty of advancement opportunities and excellent benefits to include medical, dental and vision, STD, LTD, Life, AD&D, and 401K with an employer match and encourages a positive work life balance.

 

Our Mission

​​​​​​​Since our founding, CND Life Sciences has been on a mission to advance the care of patients who face the potential diagnosis of a neurodegenerative disease. With long careers in research and clinical care, our founders set out to unlock deeper stories within the skin by detecting key pathological markers in the peripheral nervous system that had been previously out of reach.

 

 

Our Core Values

CND maintains core values that guide our work and mission every day.

Great science. It’s the foundation of everything we do.

Patients first. There is a patient hoping for answers behind every test we perform – we never forget that.

Clinician-minded. We are founded by physicians and dedicated to helping clinicians care for patients – we embrace this responsibility.

Quality core. We adhere to high laboratory standards and quality practices – it’s the only way to operate.

Always thinking. We are relentless in determining how we can innovate and do better – it’s just in our DNA.

Respect. We hold our employees, customers, partners, and suppliers in high regard – we succeed when we are aligned.

 

CND Life Sciences is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.