Ronald McDonald House Tampa Bay is seeking a Reimbursement Specialist to serve as the primary administrator and subject matter resource for Medicaid and other reimbursement programs. This role is responsible for maximizing reimbursement revenue through eligibility reviews, preauthorizations, submissions, payment tracking, collections, denials, grievances, compliance, documentation, reporting, and process improvement.
The position collaborates with healthcare providers, managed care organizations, transportation brokers, state agencies, and Ronald McDonald House chapters throughout Florida to expand reimbursement opportunities. It also supports broader finance and business operations through cross-training and operational redundancy.
Work location is on-site at the Tampa House Business Office, with travel to Tampa/St. Pete locations as needed. The schedule is typically Monday through Friday during business hours, with either full-time or part-time scheduling considered.
Required Experience
- Associate degree in Business Administration, Healthcare Administration, Finance, Accounting, Public Administration, or a related field; equivalent relevant experience may be substituted
- 3 years of progressively responsible experience in Medicaid billing, healthcare reimbursement, insurance claims administration, revenue cycle operations, accounts receivable, finance operations, government program administration, or a closely related area
- Proficiency with Microsoft Excel and Microsoft 365 applications
Required Skills
- Strong organizational, follow-up, and documentation skills
- Ability to manage multiple priorities, time-sensitive submissions, and deadlines with a high degree of accuracy
- Strong written and verbal communication skills
- Ability to work independently while collaborating effectively across departments and with external partners
- Ability to maintain confidentiality and appropriately handle sensitive family, financial, and reimbursement information
- Analytical skills to identify reimbursement discrepancies, determine root causes, analyze financial and performance data, and translate findings into actionable recommendations
- Ability to develop, document, and consistently apply efficient workflows, procedures, and internal controls
- Ability to remain seated or standing for extended periods and use standard office equipment and technology
Preferred Experience
- Florida Medicaid Managed Care Organization experience
- AHCA complaint processes, managed care grievances, claim appeals, and escalation management experience
- Experience coordinating statewide initiatives, coalitions, or external partnerships
- Nonprofit experience, preferably in healthcare, human services, or family-support organizations
Benefits
- 100% employer-covered medical insurance
- 100% employer-covered dental insurance
- 100% employer-covered life insurance
- Vision insurance option
- Short-term disability option
- Other voluntary benefits
- 401(k) eligibility after 90 days
Additional Information
- Full-time salary-exempt position, with a part-time option available
- Probationary period of 90 days
- Salary review at 90 days, 1 year, and annually thereafter
Location
Tampa, Florida, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
From $50,000
Remote work allowed
No
Posted
3 weeks ago