AI Summary / Key Details

  • Role: Remote Healthcare Reimbursement Specialist – Competitive Salary & Growth Opportunities
  • Compensation: $25 - $45 / hr
  • Location: Remote
  • How to apply: Click the Apply Now button on this page to submit your resume.
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Join a dynamic healthcare organization that values accuracy, compliance, and strategic financial stewardship. As a Remote Healthcare Reimbursement Specialist, you will play a pivotal role in optimizing claim submissions and ensuring timely reimbursements for diverse medical services.

About the Role

Our client, a leading provider of specialty medical services, is seeking a detail‑oriented professional to manage the full cycle of medical billing and reimbursement for outpatient and inpatient claims. Working entirely from home, you will collaborate with clinical staff, coders, and payers to resolve denials, streamline documentation, and maintain rigorous adherence to regulatory standards.

Key Responsibilities

  • Prepare and submit electronic claim forms for a high‑volume specialty practice.
  • Analyze claim rejections and implement corrective actions to improve acceptance rates.
  • Maintain up‑to‑date knowledge of payer policies, coding updates, and reimbursement trends.
  • Generate daily, weekly, and monthly reimbursement reports for leadership review.
  • Coordinate with insurance adjusters to resolve complex billing inquiries.
  • Ensure compliance with HIPAA, Medicare, Medicaid, and private payer regulations.

Required Qualifications

  • Associate’s or Bachelor’s degree in Health Information Management, Business Administration, or a related field.
  • Minimum 2 years of experience in medical billing or reimbursement within a specialty setting.
  • Proficiency with electronic health record (EHR) systems and billing software such as Epic, Athena, or Kareo.
  • Strong understanding of CPT, ICD‑10, and HCPCS coding principles.
  • Excellent analytical skills and a proven track record of meeting accuracy targets.
  • Effective communication abilities for interacting with clinical and administrative teams.

Preferred Experience

  • Certification as a Certified Professional Biller (CPB) or Certified Billing and Coding Specialist (CBCS) is a plus.
  • Experience working remotely with distributed teams across multiple time zones.
  • Familiarity with value‑based care models and bundled payment arrangements.

Salary & Benefits

Salary Range: $45,000 – $65,000 USD/year, commensurate with experience and certifications.

  • Competitive base salary with annual performance bonuses.
  • Comprehensive health, dental, and vision insurance plans.
  • 401(k) plan with employer matching contributions.
  • Paid time off, holidays, and flexible scheduling.
  • Professional development stipend and support for continuing education.
  • Remote‑work allowances for home office equipment and internet.

Why Join Our Team

Working remotely does not mean you are isolated. Our organization fosters a collaborative culture through regular virtual meetings, mentorship programs, and a commitment to work‑life balance. You will have the autonomy to manage your workload while receiving the support needed to excel. Join us and become a key contributor to the financial health and patient satisfaction of a thriving specialty practice.