Reimbursement Specialist

Banner Health

. Obtain and maintain physician orders, authorizations, Certificates of Medical Necessity (CMN), and other supporting documents for reimbursement .

Posted 10/13/2026full-timeRemote • Arizona • United StatesJuniorMid-Level💰 $20 - $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing physician orders, authorizations, and documentation for reimbursement, while ensuring compliance with regulatory and accreditation requirements. Proficient in customer service, problem-solving, and maintaining accurate patient records.

Highest-signal resume keywords

Patient Accounts ManagementRegulatory Compliance KnowledgeCustomer Service SkillsDocumentation AccuracyOrganizational Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Necessity DocumentationBilling System ProficiencyOrder VerificationPayment ReconciliationRecord Keeping

Soft Skills

Interpersonal SkillsEffective CommunicationProblem Solving

Tools & Technologies

Office Software ProficiencyBilling Software

Industry Keywords

Home Medical EquipmentMedicare DocumentationPatient Financial ServicesAccreditation Requirements

About the role

Key responsibilities & impact

Obtain and maintain physician orders, authorizations, Certificates of Medical Necessity (CMN), and other supporting documents for reimbursement
Attend in-service education and training on policies, procedures, and work-related materials such as Medicare Additional Documentation Requests
Act as an internal resource for qualifying criteria, payment limitations, and required documentation
Assist patient financial services with accurate patient account charges
Verify documentation, examine and track orders, and ensure proper billing
Verify payment balances and receipts and complete End of Day reports
Schedule and maintain CMNs and physician orders for timely delivery
Enter completed orders into the billing system for reimbursement
Research and respond to overdue or delinquent accounts by mail or phone
Research customer accounts and document appropriately
Process adjustments when services are non-covered or denied
Make final independent decisions regarding the accuracy of home medical equipment documentation
Work as a member of the Home Medical Equipment team to ensure timely and accurate reimbursement

Requirements

What you’ll need

High school diploma/GED or equivalent working knowledge
2-3 years of experience in patient accounts, pharmacy or equipment intake
Thorough understanding of regulatory and accreditation requirements of medical equipment and infusion medications for government and third party agencies
Effective interpersonal skills and ability to provide effective customer service
Demonstrated organizational and problem solving skills
Ability to keep detailed records regarding equipment and medical records
Ability to communicate effectively
Ability to prioritize and organize daily work
Demonstrated ability to use and develop proficiency with computers and office software
1-2 years of experience in clerical, customer relations and/or customer service departments preferred
Additional related education and/or experience preferred