Remote Healthcare Reimbursement Specialist – Work from Home – Drive Patient Support & Growth

Join a forward‑thinking health tech firm that’s revolutionizing how patients receive care. As a Remote Healthcare Reimbursement Specialist, you’ll be the bridge between patients, providers, and insurers, ensuring every claim is processed accurately and swiftly. If you thrive in a dynamic, data‑driven environment and want to make a tangible impact on patient outcomes—all from the comfort of your own home—this is the role for you.

About the Role

In this full‑time, 100% remote position, you’ll manage the end‑to‑end reimbursement workflow for a growing network of outpatient clinics and specialty practices. Your day will involve reviewing medical claims, verifying coverage details, communicating with insurance carriers, and collaborating with providers to resolve any discrepancies. By maintaining meticulous records and leveraging industry software, you’ll help our partners recover funds faster, improving cash flow and patient satisfaction.

Key Responsibilities

• Process and audit medical claims to ensure compliance with payer policies and regulatory standards.
• Collaborate with providers to correct claim denials, submit resubmissions, and track payment status.
• Maintain accurate documentation and update electronic health record (EHR) systems with claim outcomes.
• Analyze reimbursement trends and recommend workflow improvements to senior leadership.
• Serve as the primary point of contact for insurance carriers, addressing inquiries and escalations.
• Participate in cross‑functional teams to enhance billing accuracy and streamline patient onboarding.

Requirements

• Bachelor’s degree in Health Administration, Finance, or related field (or equivalent experience).
• Minimum of 2 years’ experience in medical billing, coding, or reimbursement within a healthcare setting.
• Strong knowledge of CPT/ICD coding, payer contract nuances, and HIPAA compliance.
• Proficiency with billing software (e.g., Kareo, AdvancedMD, Athenahealth) and Microsoft Office Suite.
• Excellent analytical, problem‑solving, and time‑management skills.
• Outstanding written and verbal communication abilities to interact with providers and insurers.
• Self‑motivated, detail‑oriented, and comfortable working independently in a virtual environment.

Benefits

• Competitive salary range: $55,000 – $75,000 USD per year, commensurate with experience.
• Comprehensive health, vision, and dental insurance plans.
• Unlimited paid time off (PTO) to support work‑life balance.
• Fully reimbursed home‑office stipend, including ergonomic furniture and high‑speed internet.
• Professional development budget and access to industry conferences (virtual or in‑person).
• Employee wellness program with monthly virtual fitness classes and mental health resources.
• Flexible scheduling with core hours (10 am–3 pm EST) to accommodate personal commitments.

Why Join Us?

Our mission is simple: to empower patients and providers with reliable, timely reimbursement solutions. By working remotely, you’ll be part of a collaborative culture that values innovation, autonomy, and continuous improvement. You’ll receive hands‑on training, mentorship from seasoned reimbursement experts, and the opportunity to shape processes that directly influence patient care quality.

What You’ll Bring to the Table

As a detail‑oriented, patient‑centric professional, you’ll thrive on solving complex billing puzzles and ensuring fairness in the reimbursement process. Your proactive approach will help reduce denial rates, improve cash flow for practices, and ultimately enhance patient access to essential services.

Ready to Make a Difference?

If you’re passionate about healthcare, enjoy working remotely, and want to play a pivotal role in the financial health of providers, we encourage you to explore this exciting opportunity. Join us in shaping a more efficient, patient‑focused reimbursement ecosystem—one claim at a time.