Reimbursement Specialist

PromptCare

. Handle all patient billing and collections .

Posted 9/29/2026full-timeNew Providence • New Jersey • United StatesMid-LevelSenior💰 $21 - $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in patient billing and collections, with a strong understanding of insurance plans including Medicare and Medicaid. Proficient in electronic claims submission and adept at resolving billing issues while maintaining confidentiality.

Highest-signal resume keywords

Patient Billing ManagementElectronic Claims SubmissionInsurance KnowledgeCPR+ Software ProficiencyDenials Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical CollectionsAccounts ReceivableBilling ProcessesRevenue Cycle ManagementPayment Trends Analysis

Soft Skills

Effective CommunicationProblem SolvingAttention to DetailCollaboration

Tools & Technologies

CPR+ SoftwareCaretend Software

Industry Keywords

DME BillingHome Infusion BillingEnteral BillingMedicareMedicaid

About the role

Key responsibilities & impact

Handle all patient billing and collections
Collect third-party payor accounts for assigned payers
Follow up on revenue-cycle reimbursement matters, including projects, issue escalation, denials management and research
Maintain and update shared documentation on insurance policies, rules and limitations
Identify adjustments, payment trends and denials and escalate problems as necessary
Communicate changes regularly or as needed
Collaborate with Intake and Reauthorization Specialists to ensure timely collections
Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes
Field and troubleshoot patient calls regarding benefits, claims and balances
Proactively resolve billing issues
Perform CPR+/Caretend transactions accurately and timely
Document and input new referrals and subsequent patient admissions from start to finish according to PromptCare policies and procedures
Perform other duties as assigned

Requirements

What you’ll need

High School Diploma or equivalent
2-3 years of experience in electronic claims submission and medical collections preferred
Working knowledge of insurance plans including Medicare and Medicaid required
Industry experience with billing/collections in DME, home infusion and/or enteral preferred
Accounts receivable and accounting experience preferred
Knowledge of CPR+ and/or Caretend software preferred
Ability to work full-time, 40 hours per week, Monday-Friday
Ability to maintain confidentiality in patient care, employee activities and the office environment
Ability to frequently communicate verbally, listen attentively, sit for prolonged periods, work on a computer, lift files, open filing cabinets, and bend or stand as needed

Benefits

Comp & perks

Comprehensive Medical, Dental, and Vision Package
401(k) Plan with Company Match
Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
Life Insurance: Standard coverage with optional enhancements
Employee Assistance Program: Free counseling and coaching sessions
Emotional Well-being and Work-Life Balance Resources
Short & Long-Term Disability: Company-paid with optional supplements
Accidental Death and Dismemberment Insurance
FSA and HSA: Manage healthcare expenses
Commuter Spending Programs
Volunteer and Engagement Opportunities
Employee Referral Bonuses
Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans