Remote Healthcare Reimbursement Specialist – Remote (United States) – Join Our Innovative Team

We’re looking for a detail‑oriented, tech‑savvy reimbursement specialist to help patients navigate complex insurance claims and streamline payment processes. As a key member of our billing team, you’ll partner with clinicians, insurers, and patients to ensure timely, accurate reimbursements while improving overall satisfaction. This fully remote role offers flexibility, a supportive culture, and the chance to make a tangible impact on patient care.

About the Role

In this position, you’ll manage the entire reimbursement lifecycle—from claim submission to final payment—across a broad portfolio of health plans. You’ll analyze claim denials, collaborate with providers to resolve issues, and generate detailed reports that inform business strategy and quality improvement initiatives.

Key Responsibilities

• Submit and track electronic claims for a high‑volume inpatient and outpatient network.
• Investigate and resolve claim denials and payment discrepancies using industry tools such as EDI, Claim Center, and Meditech.
• Maintain accurate, up‑to‑date patient billing records in our HIPAA‑compliant system.
• Provide proactive reimbursement status updates to clinicians and patients via secure portals.
• Collaborate with the Credentialing and Revenue Cycle teams to implement process improvements.
• Create and analyze monthly reimbursement performance reports.

Requirements

• Bachelor’s degree in Health Administration, Finance, or related field.
• 3+ years of experience in medical billing, healthcare reimbursement, or revenue cycle management.
• Proficiency with EHR/EPIC, Meditech, or similar systems.
• Strong analytical skills and meticulous attention to detail.
• Excellent written and verbal communication espacially in a virtual environment.
• Ability to work independently, prioritize tasks, and meet deadlines consistently.

Preferred Qualifications

• Experience with Medicare/Medicaid and commercial payer protocols.
• Certifications such Oak Street, AAPC CCM, or equivalent.
• Knowledge of ICD‑10)a, CPT, and HCPCS coding standards.
• Prior remote work experience in a fast‑paced healthcare setting.

Benefits

We believe in rewarding hard work with comprehensive benefits and growth opportunities:

• Competitive salary range: $55,000 – $75,000 USD/year.
• Fully remote work environment with flexible hours.
• Health, dental, and vision insurance with a generous 80% employee contribution.
• 401(k) plan with a 4% company match.
• Unlimited paid time off (PTO) and paid holidays.
• Professional development stipend and access to industry conferences.
• Employee wellness program, including virtual fitness classes and mental health resources.

Work Environment

Our team is spread across the United States, united by a shared commitment to quality care and continuous improvement. You’ll join a collaborative culture that values open communication, innovation, and work‑life balance. Regular virtual town halls, team‑building events, and one‑on‑one check‑ins ensure you’re always connected—and supported.

How to Join

If you’re passionate about optimizing patient reimbursement and thrive in a dynamic, remote setting, we’d love to hear from you. Submit your résumé and a brief cover letter outlining why you’re the ideal fit for this role. Your application will be reviewed by our hiring team, and shortlisted candidates will be invited to a virtual interview.