Reimbursement Specialist III (Medical Billing)

Location: South Jordan, Utah, United States; hybrid office arrangement with in-office training and potential flexible remote work depending on the role, team structure, and KPIs.

Company

hirify.global provides a cloud-based medical office software suite and managed medical billing services for healthcare practices.

What you will do

• Manage complex insurance accounts receivable and resolve denied, rejected, unpaid, aged, and underpaid claims.
• Correct claims before submission, submit appeals, and provide supporting documentation to secure appropriate reimbursement.
• Research payer requirements, policy updates, EOBs, remittance advice, and reimbursement discrepancies.
• Advise clients and leadership on denial patterns, payer trends, reimbursement opportunities, and corrective actions.
• Track account performance, progress, profitability, collection rates, and aging.
• Mentor and train reimbursement specialists while supporting workflow improvements, system enhancements, and special projects.

Requirements

• High school diploma or GED.
• 5+ years of experience in medical billing, accounts receivable, collections, or revenue cycle management.
• Expertise in denial management, claims follow-up, reimbursement resolution, and multiple payer types, including Commercial, Medicare, Medicaid, and Managed Care.
• Advanced proficiency with practice management and billing systems, along with strong analytical, organizational, communication, and problem-solving skills.
• Knowledge of healthcare compliance regulations, including HIPAA, and experience interpreting payer communications and reimbursement guidelines.
• Experience mentoring, training, or leading team members is preferred.

Nice to have

• hirify.global software experience.
• Experience writing successful appeals for complex, high-dollar claims.
• Strong client relationship management and conflict resolution skills.

Culture & Benefits

• Hybrid and remote work opportunities subject to role and team requirements.
• Health, dental, and vision insurance.
• 401(k) with company match.
• Paid time off and holidays.
• Career growth and development support in a collaborative, team-oriented environment.