Reimbursement Assistant

KICK for the GOAL

OrthoArkansas' core values

KINDNESS

People are happier after interactions with you because you are kind and pleasant.

INTEGRITY

Always doing the right thing, especially when no one is looking.

CONSCIENTIOUSNESS

Strive for excellence in all that you do, paying special attention to the details that make a difference in patient care and teamwork.

KNOWLEDGE

Be a lifelong learner.

Position Overview:
The Reimbursement Assistant at OrthoArkansas plays a vital role in managing outstanding insurance claims, ensuring timely reimbursement, and supporting patient financial services. This position requires strong analytical skills, attention to detail, and knowledge of medical billing, insurance guidelines, and denial management processes. The Reimbursement Assistant will collaborate with patients, insurance companies, and internal teams to resolve payment discrepancies, maximize revenue collection, and maintain a seamless billing experience. Additionally, this role includes processing patient refunds and managing collection letters for inactive accounts when necessary.

Key Responsibilities:

• Insurance Claims & Reimbursement Management:
  • Review and follow up on outstanding insurance claims to ensure timely processing and payment.
  • Investigate and resolve denied, delayed, or underpaid claims by contacting insurance carriers and resubmitting claims as needed.
  • Identify trends in denials and work with the billing team to address recurring issues.
  • Communicate with insurance representatives to verify claim status, appeal denials, and obtain necessary documentation.
  • Document all follow-up actions and claim statuses in the billing system.
• Financial Counseling & Patient Support:
  • Conduct financial counseling sessions to help patients understand their insurance benefits, out-of-pocket costs, and available payment options.
  • Verify insurance coverage and eligibility, including copays, deductibles, and coinsurance.
  • Assist patients in applying for financial assistance programs, Medicaid, or setting up payment plans when needed.
  • Educate patients on available financial resources and charity care policies.
  • Collect payments and arrange payment plans to reduce outstanding balances.
• Billing & Compliance:
  • Process patient refunds in accordance with policy guidelines and payer requirements.
  • Send collection letters for inactive accounts and escalate to collections when appropriate.
  • Ensure compliance with HIPAA, financial assistance program guidelines, and organizational billing policies.
  • Work closely with the billing and insurance departments to ensure accurate account balances and patient financial responsibility.
• Customer Service & Communication:
  • Address patient inquiries regarding medical bills, insurance coverage, and financial assistance options with professionalism and compassion.
  • Maintain detailed documentation of financial discussions and payment arrangements in the electronic medical record (EMR) system.
  • Work collaboratively with internal departments, including coding, billing, and patient financial services, to streamline claims processing and improve the patient billing experience.
• Additional Responsibilities:
  • Perform other related duties as assigned to support the overall efficiency of the billing and reimbursement process.

Qualifications:

• Education & Experience:
  • High school diploma or GED required.
  • 0 to 6 months of related experience and/or training, or an equivalent combination of education and experience.
  • Preferred experience in insurance, medical billing, or accounts receivable.
  • High-volume inbound and outbound phone work experience preferred.
• Skills & Abilities:
  • Strong critical thinking skills with the ability to research and resolve billing issues efficiently.
  • Excellent customer service skills with the ability to maintain a tactful demeanor, be compassionate, courteous, and helpful.
  • Ability to multi-task, work independently, and collaborate effectively as part of a team.
  • Exceptional verbal and written communication skills for professional interaction with patients, insurance companies, and internal staff.
  • Ability to maintain HIPAA confidentiality at all times.

Perks of This Position:

• Impactful & Rewarding Work – Play a key role in ensuring financial clarity for patients and facilitating timely reimbursement, contributing to clinic efficiency.
• Attractive Compensation & Comprehensive Benefits – Enjoy a competitive benefits package, including medical coverage, life insurance, 401(k) with employer profit-sharing contributions, paid time off, and paid holidays.
• Culture of Excellence – Work with a team that values kindness, integrity, attention to detail, and continuous learning to deliver exceptional patient financial services.
• Professional Growth & Development – Access opportunities for ongoing training and career advancement in medical billing, financial counseling, and revenue cycle management.
• Collaborative & Supportive Team – Join a workplace that fosters strong teamwork, professional relationships, and a commitment to excellent patient service.

Additional Details:

• Performance Expectations: Ensure accurate and efficient claims processing while providing outstanding financial counseling and support to patients.
• Professional Development: Gain exposure to evolving insurance policies, billing procedures, and best practices to enhance expertise in medical reimbursement.

Join OrthoArkansas as a Reimbursement Assistant and be part of a dedicated team that ensures financial accuracy, maximizes revenue recovery, and supports patients in navigating their healthcare costs. If you thrive in a detail-oriented, patient-focused environment, this role offers a meaningful opportunity to make a difference!