Reimbursement Specialist (3012)

Position Summary:

The Reimbursement Specialist supports accurate patient registration, laboratory test ordering, and reimbursement processes for Outreach services. This role serves as a key liaison between clients, the Business Office, and internal departments to ensure billing information is complete, appropriately coded, and submitted in a timely manner. Working within a collaborative revenue and laboratory support team, the Specialist contributes to consistent workflows, clear communication, and reliable service delivery. The position functions in a structured, detail-focused environment where accuracy, responsiveness, and teamwork are essential. Through attention to detail and a service-oriented approach, the Reimbursement Specialist supports revenue integrity, regulatory compliance, and a positive customer experience.

Key Responsibilities:

• Register Outreach patients in the electronic system and accurately enter laboratory orders in accordance with established procedures.
• Respond to client inquiries regarding billing, statements, and reimbursement processes with professionalism and clear communication.
• Apply knowledge of CPT and ICD-10 coding principles to support accurate claim submission and reimbursement.
• Coordinate with the Business Office to resolve billing issues, clarify account information, and support follow-up activities.
• Prepare and distribute monthly client statements and related documentation in a timely and accurate manner.
• Perform general office and clerical duties, including data entry, record maintenance, and document handling, to support daily operations.