Job description
About the role: The Reimbursement Specialist is responsible for managing the full reimbursement lifecycle, including claim preparation, submission, and account follow-up to ensure accurate and timely reimbursement. This role serves as the primary owner of assigned accounts receivable activities, and collaborates with internal teams to resolve billing issues, reduce outstanding balances, and maximize revenue collection.
Responsibilities:
Review claims and billing documentation for accuracy and completeness prior to submission to ensure compliance with payer requirements and reimbursement guidelines
Submit claims through TrueSight, payer portals, and invoicing processes for insurance, reseller, alternate funding, and other non-traditional reimbursement channels
Monitor submitted claims and invoices to ensure timely processing, payment, and resolution of outstanding balances
Perform timely follow-up with insurance companies, patients, caregivers, resellers, and other external partners to resolve payment issues and facilitate reimbursement
Review, identify, and correct claim rejections, billing errors, and submission issues to support timely resubmission and payment
Investigate claim denials, underpayments, and outstanding balances to determine root causes and implement appropriate resolution strategies
Submit appeals and supporting documentation for denied or underpaid claims to maximize reimbursement
Manage patient financial responsibilities, including establishing payment plans, sending payment links, and coordinating payment resolution prior to shipment and case completion
Monitor and manage assigned Accounts Receivable to reduce aging balances and support departmental collection goals
Maintain accurate and timely documentation of all billing, collection, and account activity within applicable systems
Collaborate with internal teams to identify trends, resolve reimbursement barriers, and improve billing and collection processes
Maintain compliance with payer requirements, reimbursement regulations, and company policies
Maintain confidentiality and adhere to HIPAA standards when handling Protected Health Information (PHI)
Maintain current knowledge of payer requirements, billing processes, reimbursement guidelines, and industry regulations
May be required to perform other duties as assigned
Minimum Qualifications:
High School Diploma or equivalent
1–3 years of experience in medical reimbursement, DME, medical billing, or healthcare revenue cycle management
1-3 years of experience using medical billing or claims management software, such as TrueSight
1-3 years of experience using payer and/or clearinghouse portals, such as MyCGS or Inovalon
Strong attention to detail, organization, problem-solving, and follow-up skills
Strong written and verbal communication skills
Ability to effectively manage multiple and shifting priorities in a fast-paced environment
Ability and willingness to travel within the U.S. (including airline travel) up to 2 times per year for in-person team and all-company meetings with possible additional travel (approximately 2 times annually) for conferences and events as needed
Preferred Qualifications:
Experience managing both billing and collections activities within the reimbursement lifecycle
Experience working with patient balances, payment plans, and electronic payment solutions
Proficiency with Microsoft Office applications, particularly Excel and Outlook
Familiarity with TrueSight and/or Inovalon
Experience working with confidential or protected health information in a healthcare environment
Knowledge of HIPAA and healthcare privacy requirements
Experience with DMEPOS reimbursement, particularly Medicare DMEPOS
Work Environment & Physical Demands
Work is performed remotely from a home office. The individual is expected to maintain a safe, productive workspace with reliable and secure internet access.
Travel
Ability and willingness to travel within the U.S. (including airline travel) up to 2 times per year for in-person team and all-company meetings with possible additional travel (approximately 2 times annually) for conferences and events as needed
Accommodations
To perform this job successfully, an individual must be able to perform each essential duty and physical demand satisfactorily. The requirements listed above are representative of the knowledge, skills, and/or abilities and physical demands required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
If you require an accommodation, please reach out to Human Resources at for assistance. We are here to help!
Lingraphica and Pay Transparency
At Lingraphica, we are committed to fair and equitable compensation practices. The starting salary range for this position is $50,000 to $55,000 per year. Placement in the starting pay is based on factors such as experience, skills, education, and internal equity. We regularly review our compensation structures to ensure they align with industry standards, promote fairness, and support career growth. In addition to competitive base pay, we offer a comprehensive benefits package and a commitment to fostering an inclusive and supportive workplace. We encourage open conversations about compensation and are dedicated to maintaining transparency throughout the hiring process.
To learn more about Lingraphica, visit: ! To learn more about our benefits offerings, click here!
This Organization Participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
Este empleador participa en E-Verify y proporcionará al gobierno federal la información de su Formulario I-9 para confirmar que usted está autorizado para trabajar en los EE. UU.
Lingraphica is a mission-driven organization that provides speech-generating devices to help improve communication, speech, and quality of life for people with communication impairments. Lingraphica is a leader in augmentative and alternative communication (AAC) technology, helping people with aphasia and other speech and language impairments communicate and engage more fully in daily life. Through a combination of innovative devices, software, and services, Lingraphica is focused on improving communication outcomes and supporting individuals, families, and care teams. We look for candidates who enjoy working in a fast-paced, goal-oriented environment, and who share our commitment to helping individuals on their communication journey.
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.