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PromptCare

Reimbursement Specialist

PromptCare

. Handle all patient billing and collections .

Posted 9/25/2026full-timeNew Providence • New Jersey • United StatesMid-LevelSenior💰 $22 - $26 per hourWebsite

About the role

Key responsibilities & impact
  • Handle all patient billing and collections
  • Complete documentation and computer input for new referrals and subsequent patient admissions from start to finish
  • Collect third-party payor accounts for assigned payers
  • Follow up on revenue cycle reimbursement activities, including projects, issue escalation, denials management, and research
  • Maintain and update shared documentation for the Intake Team regarding 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
  • Handle and troubleshoot patient calls regarding benefits, claims, and patient balances
  • Proactively resolve billing issues
  • Perform CPR+/Caretend transactions accurately and timely
  • 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
  • Detail-oriented and able to work in a fast-paced environment
  • Proficient in all phases of insurance data collection, verification, and authorization
  • Ability to maintain confidentiality in patient care, employee activities, and office environments
  • Ability to frequently communicate verbally, listen attentively, sit for prolonged periods, and work on a computer
  • Ability to 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