Remote Healthcare Reimbursement Specialist | Nationwide Remote Role | Help Maximize Revenue Cycle Accuracy

HealthBridge Revenue Solutions is hiring a Remote Healthcare Reimbursement Specialist to support accurate claims follow-up, payer communication, reimbursement tracking, and revenue cycle performance from home. This 100% remote role is ideal for detail-focused professionals who understand medical billing, insurance reimbursement, denial management, and the importance of clean claims in healthcare operations.

Salary Range

Estimated Salary Range: $48,000 – $65,000 USD per year, depending on experience, certifications, reimbursement knowledge, and demonstrated performance in healthcare revenue cycle support.

About the Role

As a Remote Healthcare Reimbursement Specialist, you will play a key role in helping healthcare providers receive accurate and timely payment for services rendered. You will review claims, investigate payment discrepancies, follow up with insurance payers, resolve denials, and support internal teams with reimbursement-related documentation.

This position is perfect for someone who enjoys problem-solving, working with detailed financial and clinical information, and contributing to a smoother healthcare revenue cycle. You will work remotely with a collaborative team, using secure healthcare systems to monitor claim status, verify payer requirements, and ensure reimbursement processes are completed accurately.

Key Responsibilities

• Review healthcare claims for accuracy, completeness, and reimbursement eligibility.
• Track claim status, payment posting, denials, adjustments, and unresolved balances.
• Communicate with insurance companies, payers, and internal billing teams to resolve reimbursement issues.
• Investigate underpayments, denied claims, and payment discrepancies using payer guidelines and contract information.
• Prepare clear documentation for claim follow-up, appeals, escalations, and revenue cycle reporting.
• Support timely reimbursement by identifying trends, recurring denial reasons, and process improvement opportunities.
• Maintain compliance with HIPAA, payer policies, internal procedures, and healthcare privacy standards.

Requirements

• Previous experience in healthcare reimbursement, medical billing, claims follow-up, denial management, or revenue cycle operations.
• Strong understanding of insurance claims, payer guidelines, EOBs, ERAs, CPT, ICD-10, HCPCS, modifiers, and reimbursement workflows.
• Ability to analyze claim details, identify errors, and recommend practical next steps.
• Excellent written and verbal communication skills for working with payers, providers, and internal teams.
• Strong attention to detail, organization, and accuracy when managing multiple accounts or claim queues.
• Comfortable working independently in a 100% remote environment with secure systems, email, phone, and productivity tools.
• Ability to protect confidential patient and financial information in accordance with HIPAA requirements.

Preferred Qualifications

• Certified Professional Biller, Certified Medical Reimbursement Specialist, CPC, CPB, CRCR, or related healthcare revenue cycle certification.
• Experience with Medicare, Medicaid, commercial insurance, managed care, workers’ compensation, or no-fault claims.
• Familiarity with practice management systems, electronic health records, clearinghouses, and payer portals.
• Experience preparing appeals, reviewing contracts, or supporting revenue cycle audits.

Benefits

• 100% remote work-from-home opportunity with a stable healthcare revenue cycle team.
• Competitive salary with room for growth based on experience and performance.
• Flexible remote work structure while maintaining clear productivity and quality expectations.
• Opportunity to work with healthcare providers, payers, and revenue cycle professionals across multiple specialties.
• Professional development support for billing, coding, reimbursement, and healthcare compliance skills.
• Collaborative virtual team environment with clear processes, training resources, and ongoing support.

Ideal Candidate Profile

The ideal Remote Healthcare Reimbursement Specialist is analytical, dependable, and confident working with complex payer rules. You should be comfortable balancing accuracy with productivity, asking thoughtful questions, and staying organized while managing multiple reimbursement tasks each day.

If you enjoy helping healthcare organizations improve cash flow, reduce claim delays, and strengthen reimbursement outcomes, this remote opportunity offers meaningful work with long-term career potential in the healthcare revenue cycle field.