Remote Healthcare Reimbursement Specialist — U.S. Residents | $52,000-$68,000 + Growth

Join a fully remote healthcare team helping providers secure timely, accurate reimbursement while improving patients’ access to care. This stable, work-from-home position offers competitive pay, flexible scheduling, comprehensive training, and meaningful opportunities for long-term career growth.

About the Role

We are seeking a detail-oriented Healthcare Reimbursement Specialist to manage the full lifecycle of patient billing and insurance claims. You will review claims, resolve denials, verify coverage, and communicate with payers, providers, and patients to accelerate payment.

As a 100% remote employee, you will work from an approved U.S. location using secure company systems. The role is ideal for someone who combines healthcare knowledge with strong problem-solving skills and a customer-focused approach.

What You Will Do

• Submit, monitor, and follow up on medical insurance claims using appropriate CPT, ICD-10, and HCPCS codes.
• Investigate claim rejections and denials, identify root causes, correct errors, and resubmit claims accurately.
• Verify patient eligibility, benefits, authorizations, and coordination of benefits before services are rendered.
• Review explanations of benefits, process payments, post adjustments, and reconcile outstanding balances.
• Communicate professionally with insurers, healthcare providers, and patients regarding coverage and billing questions.
• Maintain complete documentation, meet daily production and quality standards, and support compliance with HIPAA and payer policies.

Requirements

Candidates should have at least two years of experience in medical billing, insurance verification, claims processing, or healthcare reimbursement. Certification such as CPB, CRC, or CCA is preferred but not required when equivalent experience is demonstrated.

• Working knowledge of CPT, ICD-10, HCPCS, EOBs, ERA, and denial-management workflows
• Experience with electronic health record, practice management, or payer portal systems
• Strong attention to detail, analytical thinking, and ability to meet production targets
• Clear written and verbal communication skills, particularly for sensitive billing conversations
• Reliable high-speed internet, an updated computer, and a quiet private workspace
• Commitment to HIPAA compliance, confidentiality, accuracy, and ethical healthcare practices

Salary Range

The estimated salary for this position is $52,000-$68,000 USD per year, depending on experience, certification, geography, and demonstrated performance. Pay is competitive for a fully remote U.S. healthcare reimbursement role, with potential increases tied to quality, productivity, and career development.

Benefits and Work-Life Balance

• 100% remote work from an approved location within the United States
• Flexible schedule with consistent core business hours
• Health, dental, and vision insurance options
• 401(k) retirement plan with an employer match
• Paid time off, holidays, and paid training
• Life and disability coverage
• Certification reimbursement and continuing education support
• Supportive management, collaborative teams, and advancement opportunities

Who Will Thrive Here

You will succeed if you enjoy resolving complex problems, collaborating across teams, and delivering calm, professional service. The ideal candidate takes ownership of every claim, follows through until a resolution is reached, and recognizes that accurate reimbursement directly supports quality patient care.

Equal Opportunity

This 100% remote opportunity is available to qualified professionals residing in the United States. We welcome applicants from diverse backgrounds and provide an inclusive workplace free from discrimination.