Remote Healthcare Reimbursement Specialist for Texas Residents – Join a Leading Health Tech Innovator

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Are you a billing expert with a passion for precision and a desire for total professional freedom? We are seeking a detail-oriented Healthcare Reimbursement Specialist to manage complex claims and optimize revenue cycles from the comfort of your home office in Texas.

About the Role

As a Remote Healthcare Reimbursement Specialist at NexaHealth Solutions, you will be the critical link between healthcare providers and insurance payers. This isn’t just about processing paperwork; it’s about ensuring that medical professionals are fairly compensated for their life-saving work while maintaining strict compliance with federal and state regulations.

You will navigate the complexities of CPT and ICD-10 coding, resolve claim denials, and analyze reimbursement trends to prevent future revenue leakage. This role is designed for a self-starter who thrives in a digital environment and possesses the analytical mindset required to solve the “puzzle” of medical billing.

Salary Range

$52,000 – $78,000 USD per year (Depending on experience and certifications)

Key Responsibilities

Revenue Cycle Management

• Review and submit medical claims to government and private insurance payers ensuring 100% accuracy.
• Monitor the aging report to identify and resolve outstanding accounts receivable.
• Analyze remittance advice to identify trends in claim denials and implement corrective actions.

Compliance & Quality Assurance

• Ensure all reimbursement activities adhere to HIPAA regulations and CMS guidelines.
• Conduct regular audits of billing records to maintain a high standard of documentation.
• Stay updated on changing reimbursement policies and communicate updates to the clinical team.

Payer Relations

• Negotiate with insurance representatives to resolve disputed claims.
• Manage the appeals process for denied services, providing necessary medical documentation to secure payment.

Requirements

To be successful in this remote position, you must possess a blend of technical expertise and strong communication skills.

• Experience: Minimum of 3 years of experience in healthcare billing, reimbursement, or medical coding.
• Certification: CPC (Certified Professional Coder) or CPB (Certified Professional Biller) certification is highly preferred.
• Technical Proficiency: Mastery of EHR/EMR systems and advanced proficiency in Microsoft Excel.
• Location: Must be a legal resident of Texas to meet state-specific regulatory requirements.
• Home Office: A dedicated, secure workspace with high-speed internet to ensure patient data privacy.

Why Join NexaHealth Solutions?

We believe that the best work happens when people have the autonomy to design their own day. By removing the commute, we give you back your time and trust you to deliver excellence.

Remote-First Benefits

• 100% Work from Home: No offices, no commutes, and no dress codes.
• Home Office Stipend: A generous one-time allowance to upgrade your desk, chair, and hardware.
• Flexible Scheduling: Core hours are required, but we offer flexible start and end times to accommodate your family life.
• Comprehensive Health Suite: Premium medical, dental, and vision insurance starting on day one.
• Professional Growth: Annual reimbursement for continuing education and recertification fees.

Our Culture

At NexaHealth Solutions, we value transparency, accountability, and a “get it done” attitude. We use asynchronous communication tools to keep our team connected without the fatigue of endless Zoom meetings. We are looking for a professional who is disciplined enough to work independently but collaborative enough to help the team win.

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