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Reimbursement Specialist

Role overview

Qualifications

  • High School Diploma or equivalent required; additional education in healthcare or business preferred
  • 3–5 years of experience in healthcare revenue cycle management or reimbursement
  • Strong understanding of insurance billing, payer policies, and denial management
  • Knowledge of behavioral health billing and carve-out plans preferred

Responsibilities

  • Review and resolve claim denials and rejections according to payer-specific guidelines
  • Correct and reprocess denied claims and file appeals as necessary
  • Respond to billing questions via email, phone, and mailed correspondence
  • Manage patient billing, including payment plans, statement generation, and follow-up calls

Key facts

  • Remote from: Tennessee (USA)
  • Full time
  • Mid-level (2-5 years)
  • Payments Analyst
  • English

Hard skills

Other skills

  • Microsoft Office
  • Problem Solving
  • Communication
  • Detail Oriented
  • Collaboration

About the company

CleanSlate Centers logo

CleanSlate Centers

Hospitals & Health Care

CleanSlate is a national medical group that provides physician-led, office-based treatment for individuals suffering from mental and behavioral health diagnoses, as well as opioid and alcohol use disorders. Founded in 2009 in response to the growing opioid epidemic, CleanSlate has grown to become an industry leader in high-quality, evidence-based care, providing medication-assisted treatment and related mental and behavioral therapies to those suffering from the chronic disease of addiction. CleanSlate’s extensive footprint of centers is growing rapidly to meet the demand for its medical services in states struggling with the opioid crisis throughout the country. To learn more, visit www.CleanSlateCenters.com.

Company details

Company typeSME
IndustryHospitals & Health Care
Company size501 - 1000

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Job description

At CleanSlate Centers, our mission is to save lives and restore hope for individuals affected by addiction and mental health challenges. As a national leader in outpatient addiction medicine and behavioral healthcare, we combine evidence-based treatment with compassion, helping patients reclaim their lives and rebuild their futures. Every team member—whether in clinical care, operations, or billing—plays a vital role in supporting that mission.

About the Role:
We’re seeking an experienced and detail-oriented Reimbursement Specialist to join our billing team. In this role, you’ll manage the full revenue cycle process, with a focus on resolving claim rejections, denials, and patient billing inquiries. You’ll play a key role in ensuring accurate, timely reimbursement for medical and behavioral health services while helping maintain the financial integrity of the organization.

What You’ll Do:

  • Review and resolve claim denials and rejections according to payer-specific guidelines

  • Correct and reprocess denied claims and file appeals as necessary

  • Respond to billing questions via email, phone, and mailed correspondence

  • Review zero-pay Explanation of Benefits (EOBs) and take appropriate action

  • Manage patient billing, including payment plans, statement generation, and follow-up calls

  • Identify and communicate payer trends and recommend process improvements

  • Collaborate with the billing team to ensure clean claims and accurate submissions

  • Monitor Accounts Receivable (A/R), denial trends, eligibility, and refund processes

  • Ensure compliance with payer contracts, privacy laws, and internal policies

  • Maintain accurate documentation of claim activity and resolution

  • Contribute to special projects and team initiatives as assigned

What We’re Looking For:

  • High School Diploma or equivalent required; additional education in healthcare or business preferred

  • 3–5 years of experience in healthcare revenue cycle management or reimbursement

  • Strong understanding of insurance billing, payer policies, and denial management

  • Knowledge of behavioral health billing and carve-out plans preferred

  • Proficiency with Microsoft Office and electronic claim submission systems

  • Excellent problem-solving, communication, and documentation skills

  • Ability to work independently and collaboratively in a remote environment

  • High attention to detail and ability to manage multiple priorities

Why Join Us?

  • Monday–Friday schedule – no nights or weekends

  • Remote-friendly work environment with minimal travel

  • Competitive pay and comprehensive benefits package

  • Generous PTO, floating holiday, and paid company holidays

  • Medical, dental, and vision insurance + 401(k) with company match

  • Company-paid life and disability insurance

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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