Healthcare Reimbursement Specialist – Remote – Join a Fast‑Growing HealthTech Team!

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Ready to turn your knowledge of medical billing into a rewarding work‑from‑home career? We’re a leading HealthTech company looking for detail‑oriented professionals who can navigate insurance claims, maximize patient reimbursements, and keep our operations running smoothly—all from the comfort of their own home.

Salary Range

$45,000 – $65,000 USD per year (commensurate with experience, certifications, and proven performance).

About the Role

As a Healthcare Reimbursement Specialist, you will be the bridge between patients, providers, and insurance carriers. Your primary mission is to ensure every claim is accurately submitted, followed up, and resolved so patients receive the maximum benefit they’re entitled to. This fully remote position offers flexible scheduling, collaborative virtual teams, and continuous training on the latest industry software.

Key Responsibilities

• Review and verify patient insurance information before claim submission.
• Prepare, submit, and track electronic and paper claims using industry‑standard platforms (e.g., Epic, Cerner, Availity).
• Investigate denied or underpaid claims, appeal decisions, and negotiate with payers.
• Maintain accurate records in the company’s EMR and billing systems.
• Communicate clearly with patients regarding coverage, out‑of‑pocket costs, and reimbursement status.
• Stay up‑to‑date on federal and state regulations, payer policies, and coding updates (ICD‑10, CPT, HCPCS).
• Collaborate with the billing, clinical, and customer service teams to streamline workflows and improve claim acceptance rates.

Requirements

• High school diploma or GED required; Associate’s or Bachelor’s degree in Health Administration, Business, or related field preferred.
• Minimum 2 years of experience in medical billing, claims processing, or reimbursement coordination.
• Strong understanding of insurance terminology, CPT/HCPCS coding, and HIPAA compliance.
• Proficiency with billing software (e.g., AdvancedMD, Kareo) and Microsoft Office Suite.
• Excellent written and verbal communication skills—able to explain complex insurance concepts in plain language.
• Self‑motivated, detail‑oriented, and comfortable working independently in a remote environment.
• Reliable high‑speed internet connection and a quiet, private workspace.

Preferred Qualifications

• Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) credential.
• Experience with telehealth platforms and virtual patient intake processes.
• Knowledge of Medicaid, Medicare, and commercial payer rules across multiple states.

Benefits & Perks

• Fully remote work – no commute, flexible hours, and the ability to work from anywhere in the U.S.
• Competitive salary with annual performance bonuses.
• Comprehensive health, dental, and vision insurance.
• 401(k) plan with company match.
• Generous paid time off, sick leave, and holiday schedule.
• Professional development stipend for certifications, webinars, and courses.
• Monthly virtual team events, wellness programs, and an employee assistance program.

Why Join Our Team?

Our mission is to simplify healthcare finance for patients and providers alike. By joining us, you’ll be part of a forward‑thinking organization that values transparency, continuous learning, and work‑life balance. We invest in the tools you need to succeed—state‑of‑the‑art claim management software, ongoing training, and a supportive leadership team that celebrates your achievements.

How to Apply

If you’re passionate about helping patients navigate the complexities of insurance and want a flexible, rewarding career, we want to hear from you. Submit your resume and a brief cover letter highlighting your most successful claim resolution experience. Our recruiting team will review applications on a rolling basis and contact qualified candidates for a virtual interview.

Equal Opportunity Employer

We are an equal‑opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

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