Innovative Renal Care · 3 hours ago
Reimbursement Specialist I
United States
Full-time
Remote
New Grad, Entry Level
0+ years expInnovative Renal Care is one of the largest dialysis service providers in the U.S., partnering with local physicians to deliver high-quality care to patients with ESRD and other kidney conditions. The Reimbursement Specialist I works on secondary and tertiary dialysis claims, ensuring accurate revenue collection and effective communication with insurance carriers and patients.
HealthcareHospitalHealth CareMedical
Responsibilities
Accurately collects revenue for assigned financial classes, including secondary and tertiary balances
Obtains and tracks claim status via phone and online portals for secondary/tertiary follow-up
Composes and follows up on claims appeals, including timely filing and COB-related issues
Identifies, addresses, submits, and processes adjustments and write-offs based on EOB review and payer outcomes
Reviews and understands Explanation of Benefits (EOBs) to reconcile primary-to-secondary/tertiary payment responsibility
Builds effective relationships with insurance carriers and representatives
Allocates coinsurance and deductibles within the applicable database
Reviews and addresses incoming mail correspondence
Communicates with patients regarding insurance checks
Completes and maintains facility reports on a regular basis and reviews for any issues
Maintains strict confidentiality of patient personal information and maintains HIPAA compliance
Qualification
Required
0-2 years of experience as a Reimbursement Specialist, or equivalent work experience as an insurance collector
Proficiency in Microsoft Office Suite
Excellent customer service skills, demonstrated ability to actively contribute as a team player, and superior attention to detail
Preferred
Bachelor's degree in business or healthcare management strongly preferred
Experience in dialysis and/or healthcare is preferred
Experience working secondary and/or tertiary claims and reviewing EOBs to resolve remaining balances
Experience with coordination of benefits (COB) and payer order research
Experience with government payers such as TRICARE, ChampVA, VA, and/or Medicare secondary/MSP
Benefits
401(k) match
Healthcare coverage
Broad range of other benefits
Company
Innovative Renal Care
Innovative Renal Care provides end-stage renal disease treatment and dialysis services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Nick Mendez
Chairman and CEO
Jamie P. Dwyer, MD
Co-Founder
Recent News
Akebia Therapeutics, Inc.
2025-11-10
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