Career Center

Nemours is seeking a Medical Reimbursement Specialist (Full-Time), to join our team in Jacksonville, Florida. The primary function of the Medical Reimbursement Specialist is the resolution of open insurance balances through collections. The position is responsible for researching unpaid, underpaid and denied insurance claims then applying contractual billing and payment guidelines to ensure timely resolution and meet collection goals. Facilitate resolution of open receivables by review of coding, billing, contract agreements, and authorization terms. Diagnose and report issues with regards to rejection and denial trends to management Maintain accurate documentation of claim follow up activities.