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Senior Billing & Reimbursement Specialist - US Healthcare image - Rise Careers
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Senior Billing & Reimbursement Specialist - US Healthcare

We are looking for a Senior Billing & Reimbursement Specialist to manage third-party reimbursements for Medicare, Medicaid, and private insurance claims in the U.S. healthcare system. The ideal candidate has experience in medical billing and collections, specifically in Skilled Nursing Facilities (SNFs) or long-term care settings.

Key Responsibilities

• Oversee and support third-party reimbursement processes, ensuring accurate and timely claim submissions.

• Manage billing and collections for Medicare, Medicaid, and private insurance.

• Identify and resolve claim denials and discrepancies with payers.

• Ensure compliance with U.S. healthcare billing regulations.

• Collaborate with billing vendors and internal finance teams to streamline processes.

• Provide training and support to the team on best practices in medical billing and reimbursement.

• Participate in accounts receivable (A/R) reviews and ensure accurate financial reporting.

What We Offer

Remote position based in Mexico with a U.S. healthcare company.

• Competitive salary and benefits.

• Opportunity to work in a growing industry with a great team.

• Professional development and career growth opportunities.

📩 Apply now and join our team!

Qualifications

  • 3+ years of experience in medical billing, collections, or reimbursement (preferably in Skilled Nursing Facilities or healthcare).
  • Strong knowledge of U.S. insurance payers, Medicare, and Medicaid billing regulations.
  • Experience using EHR and billing software (e.g., PointClickCare, PrimeCare, or similar).
  • Advanced English communication skills (spoken and written).
  • Associate’s or Bachelor’s degree in Accounting, Business Administration, or a related field (preferred).
  • Detail-oriented, proactive, and able to work independently.

Awesome Benefits for Our Team! 🚀✨

  • 🎄 Christmas Bonus: 30 days, to be paid in December.
  • 🩺 Major Medical Expense Insurance: Coverage up to $20,000,000.00 MXN.
  • 🩹 Minor Medical Insurance: VRIM membership with special discounts on doctor’s appointments and accident reimbursements.
  • 😁 Dental Insurance: Always smile with confidence!
  • 💼 Life Insurance: (Death and MXN Disability)
  • 🌴 Vacation Days: 12 vacation days in accordance with Federal Labor Law, with prior approval from your manager. + 📅 Floating Holidays: 3 floating holidays in addition to the 7 official holidays in Mexico.
  • 📱 Cell Phone Reimbursement & Transportation Subsidy.
  • 🌐 Hybrid Scheme: Enjoy the best of both worlds, remote and in-office work.
  • 🌍 Multicultural Exposure: Work with operations within Mexico and United States.
  • 🎉 MezTal Internal Events: Strike a healthy balance between your professional and personal goals.
  • 💸 Exclusive Discounts: Benefits with different companies for being part of MezTal.
  • 📚 Academic Agreements: Access to national universities and language schools.
  • 🚀 Career Growth: We will search the best conditions for progressing in your career.
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EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
March 7, 2025

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