Remote HealthcareReimbursement Specialist – Competitive Salary & Flexible Work Environment

Join a dynamic team where your expertise in medical billing and insurance coordination directly impacts patient care and organizational revenue. This fully remote position offers a clear path for professional growth, generous compensation, and the freedom to work from anywhere in the United States. If you thrive in a fast‑paced, results‑driven setting, keep reading to discover how you can shape the future of healthcare finance.

About the Role

Our organization, MediClaims Solutions, is a leading provider of revenue cycle management services for hospitals, clinics, and specialty practices. We are seeking a detail‑oriented Healthcare Reimbursement Specialist to manage claim submissions, resolve denials, and ensure compliance with evolving payer regulations. The ideal candidate will collaborate with clinical staff, coders, and finance leaders to optimize reimbursement cycles while maintaining the highest standards of accuracy and confidentiality.

Key Responsibilities

• Prepare and submit electronic and paper claims for a high‑volume patient base.
• Analyze claim rejections, identify root causes, and implement corrective actions.
• Maintain up‑to‑date knowledge of CPT, ICD‑10, and HCPCS coding standards.
• Communicate with payers to resolve complex billing issues and secure timely payments.
• Generate weekly and monthly reimbursement reports for senior leadership.
• Support audit readiness by documenting processes and preserving supporting documentation.

Requirements

Candidates must possess a strong foundation in healthcare finance and demonstrate the following qualifications:

• Associate’s or Bachelor’s degree in Health Information Management, Business Administration, or a related field.
• 3+ years of experience in medical billing, claims processing, or reimbursement coordination.
• Proficiency with electronic health record (EHR) systems and billing software such as Epic, Athenahealth, or Kareo.
• In‑depth understanding of Medicare, Medicaid, and private payer policies.
• Excellent analytical skills and a proven track record of meeting or exceeding collection targets.
• Strong written and verbal communication abilities.

Preferred Qualifications

• Certified Professional Biller (CPB) or Certified Revenue Cycle Professional (CRCP) credential.
• Experience with revenue cycle analytics tools and dashboards.
• Familiarity with HIPAA compliance and data privacy best practices.

Benefits & Compensation

We offer a competitive compensation package designed to attract top talent:

• Salary Range: $55,000 – $72,000 USD per year, based on experience and skill set.
• Performance‑based bonuses and quarterly incentives.
• Comprehensive health, dental, and vision insurance.
• 401(k) plan with employer matching.
• Paid time off, holidays, and flexible scheduling.
• Professional development allowances and certification reimbursement.
• 100% remote work environment with a stipend for home office setup.

Why Join MediClaims Solutions?

At MediClaims Solutions, we champion innovation, collaboration, and a culture that values work‑life balance. Our remote‑first philosophy empowers employees to design productive workspaces that suit their needs while staying connected to a supportive community. As a Healthcare Reimbursement Specialist, you will play a pivotal role in safeguarding the financial health of healthcare providers, directly influencing the quality of care delivered to patients across the nation.

Ready to make a meaningful impact without leaving the comfort of your home? Explore the opportunities awaiting you at MediClaims Solutions and become part of a team that celebrates expertise, integrity, and continuous improvement.