Remote Healthcare Reimbursement Specialist | Nationwide | Fast-Growth Revenue Role

Drive clean claims and higher returns from every encounter while working fully remote. We combine compliance precision with smart analytics so your expertise accelerates cash flow without office walls. You’ll partner with cross-functional teams to turn complex reimbursement rules into predictable, scalable income.

About the Role

As a Healthcare Reimbursement Specialist, you will own the lifecycle of revenue integrity across payers and settings, from charge capture to appeals. Operating in a 100% remote environment, you’ll audit documentation, validate coding accuracy, and align billing practices with payer contracts and government regulations. Your work ensures that services are represented clearly, ethically, and profitably so clinical teams can focus on care.

We serve a national footprint, which means you’ll navigate diverse state rules, commercial plans, and federal programs while maintaining a single standard of excellence. Each day blends focused analysis, stakeholder communication, and process refinement to reduce denials and accelerate reimbursement cycles. You’ll report to a Revenue Operations leader and collaborate with compliance, coding, and finance peers to strengthen controls and close revenue gaps.

Core Responsibilities

• Review claims for completeness, coding accuracy, and payer-specific requirements before submission.
• Investigate and resolve denials, underpayments, and documentation deficiencies with clear, timely appeals.
• Interpret fee schedules, capitation arrangements, and contract terms to optimize expected reimbursement.
• Maintain and update billing edits, charge masters, and payer policies to reflect current standards.
• Educate internal teams on documentation best practices that support compliant reimbursement.
• Monitor KPIs such as denial rates, days in accounts receivable, and clean claim percentages.
• Support audits and special projects that strengthen revenue cycle controls and scalability.

Requirements

We seek detail-oriented professionals who balance technical precision with clear communication in a remote-first culture. You thrive when translating complex regulations into practical workflows that protect revenue and reputation.

Must-Have Qualifications

• 2+ years in healthcare reimbursement, billing, or revenue cycle with direct payer interaction.
• Strong working knowledge of CPT, ICD-10, and HCPCS coding principles and documentation requirements.
• Experience interpreting commercial payer policies, Medicare, and Medicaid rules.
• Proficiency with electronic health records and practice management or billing systems.
• Analytical mindset with ability to reconcile data, identify trends, and propose fixes.
• Excellent written and verbal communication for appeals, education, and cross-functional collaboration.
• Self-management skills to prioritize tasks, meet deadlines, and operate independently from home.

Nice-to-Have Qualifications

• Certifications such as CPC, CPB, CRCR, or similar revenue cycle credentials.
• Background in multi-specialty or value-based care arrangements.
• Exposure to denial management tools, analytics dashboards, and workflow automation.

Benefits

We invest in sustainable performance and personal well-being so you can deliver your best work from anywhere. Our benefits reflect a modern, remote-first philosophy that values flexibility, growth, and peace of mind.

Total Rewards

• Salary Range: $52,000 – $74,000 USD/year, calibrated to experience and geography.
• Performance-based bonuses tied to denial reduction and reimbursement accuracy goals.
• Comprehensive medical, dental, and vision coverage with telehealth options.
• Employer-matched retirement plan and company-paid life and disability coverage.
• Generous paid time off, parental leave, and periodic wellness days to recharge.
• Home office stipend and ongoing technology allowances to keep your workspace effective.
• Structured learning budget for certifications, conferences, and advanced training.
• Inclusive culture with virtual coworking, mentorship, and clear career progression paths.

How We Work

Our distributed team combines deep healthcare expertise with modern tools to simplify complexity. We prioritize asynchronous communication, documented processes, and intentional collaboration so time zones never compromise quality. Weekly syncs, clear sprint goals, and transparent metrics keep us aligned while preserving the autonomy that makes remote work rewarding.

Ready to Maximize Revenue From Home

If you’re eager to protect income, improve compliance, and grow alongside a forward-looking organization, we want to hear from you. Share your story and qualifications so we can explore how your skills fit our mission. Include examples of how you’ve reduced denials, improved documentation practices, or strengthened reimbursement outcomes in past roles. We review submissions promptly and reach out to qualified candidates for thoughtful, respectful conversations about next steps.