Reimbursement Collections Specialist

At Tactile Medical, we specialize in developing at-home therapy devices to treat lymphedema, chronic venous insufficiency and respiratory illnesses.

The Reimbursement Collections Specialist is responsible for managing the collection of outstanding receivables from commercial, distributor, workers compensation, and other third-party payers. This role partners closely with Billing, Cash Application, Patient Financial Services, Reimbursement Operations, Contracting, and other cross-functional teams to identify reimbursement barriers, resolve claim issues, improve collection outcomes, and support organizational cash flow objectives. The Specialist analyzes denial and payment trends, escalates systemic reimbursement issues, and recommends process improvements that enhance efficiency and reduce accounts receivable aging.

Accountabilities & Responsibilities:
Denial Management

• Analyze denial trends and identify root causes to support corrective action plans.


• Collaborate with Billing, Authorizations, Reimbursement Operations, and Contracting teams to resolve recurring payer issues.


• Escalate systemic reimbursement concerns and recommend process improvements.

Accounts Receivable Management

• Maintain and prioritize follow-up activities based on aging, payer requirements, and financial impact.


• Meet established productivity, quality, and collection performance metrics.


• Utilize payer portals, reporting tools, and internal systems to research claim status and document account activity.


• Assist with reporting related to collections performance, reimbursement trends, and payer behaviors.


• Ensure all collection activities are completed in compliance with payer guidelines, HIPAA requirements, and company policies.


• Maintain accurate and complete documentation of all account activity.

Education & Experience:
Required:

• 3-5 years of experience in healthcare reimbursement, collections, accounts receivable, or medical billing.


• Working knowledge of commercial, workers compensation, and/or government payer reimbursement processes.

Preferred:

• Experience in durable medical equipment (DME), home medical equipment (HME), or healthcare revenue cycle management.


• Experience with Brightree or other healthcare billing/collections platforms.

Knowledge & Skills:

• Strong analytical skills with the ability to identify reimbursement trends and root causes.


• Proficiency in Microsoft Excel, Teams, Outlook, and other business applications.


• Ability to interpret explanation of benefits (EOBs), remittance advice, and payer policies.


• Ability to work independently while balancing competing priorities.


• Strong organizational and time management skills.


• Ability to adapt effectively in a fast-paced and evolving environment.

Competencies:

• Accountability


• Change Agent


• Influencing


• Teamwork


• Communication


• Process oriented


• Collaboration


• Analytical Thinking

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