Remote Healthcare Reimbursement Specialist | Nationwide | Fast-Track Your Revenue Impact

Drive clean claims and accelerate cash flow for a forward-thinking care network while working fully from home. We combine compliance precision with data-driven reimbursement strategies so you can own the revenue cycle without the commute. You’ll collaborate cross-functionally to turn complex payer rules into reliable, scalable results that elevate patient care and provider sustainability.

About the Role

As a Healthcare Reimbursement Specialist, you will steward the end-to-end revenue integrity process for a distributed, mission-first organization. From coding accuracy and charge capture to payer negotiation and denial resolution, you’ll translate regulations into real-world workflows that keep claims moving and cash secure. You will analyze reimbursement trends, identify leakage points, and implement targeted fixes that shorten reimbursement timelines while strengthening audit readiness.

Operating in a 100% remote environment, you’ll partner with clinical, billing, and compliance teams across time zones to standardize documentation, optimize coding alignment, and clarify payer requirements. Your insights will shape policy, educate stakeholders, and refine tools that reduce rework and elevate first-pass yield. This role rewards curiosity, precision, and ownership, empowering you to drive measurable financial performance from your home office.

Core Responsibilities

• Perform detailed claim audits and root-cause analyses to resolve denials and underpayments swiftly.
• Validate CPT, ICD-10, and HCPCS coding alignment with clinical documentation to ensure compliant reimbursement.
• Track payer-specific rules, fee schedules, and policy updates, translating changes into actionable guidance.
• Reconcile remittances and accounts receivable, escalating discrepancies and securing corrected payments.
• Design and maintain dashboards that monitor denial rates, days in accounts receivable, and collection effectiveness.
• Educate internal teams on documentation best practices to prevent errors before claims are submitted.
• Support contract reviews and rate negotiations by modeling revenue impact under alternative scenarios.

Requirements

Experience and Expertise

We seek a detail-oriented professional with a track record in healthcare reimbursement, billing operations, or revenue cycle management. You understand the interplay between coding, coverage, and payment across commercial, government, and value-based contracts. Strong analytical skills, payer negotiation experience, and the ability to communicate complex topics clearly will set you up for success in this remote role.

Qualifications

• Bachelor’s degree in Health Information Management, Healthcare Administration, Finance, or a related field; RHIT, CPC, or equivalent certification strongly preferred.
• Minimum of 3–5 years in reimbursement, medical billing, coding, or revenue cycle analysis.
• Proficiency with electronic health records, practice management systems, and payer portals.
• Advanced skills in Excel and data visualization tools; experience with SQL or BI platforms is a plus.
• Solid grasp of HIPAA, OIG guidance, and relevant federal and state reimbursement rules.
• Exceptional written and verbal communication with the ability to influence cross-functional partners.
• Proven ability to work independently, manage multiple priorities, and meet deadlines in a remote setting.

Benefits

Compensation and Growth

We invest in your expertise and wellbeing with a competitive package that reflects the strategic value of revenue integrity. You’ll enjoy the autonomy of remote work paired with structured career development, mentorship, and performance-based recognition.

Salary Range

$58,000 – $80,000 USD/year, commensurate with experience, certifications, and scope.

Additional Benefits

• Comprehensive medical, dental, and vision plans with telehealth options.
• 401(k) with employer match and financial wellness resources.
• Generous paid time off, parental leave, and periodic wellness days.
• Stipend for home office setup and high-speed internet reimbursement.
• Learning allowance for conferences, certifications, and continuing education.
• Quarterly performance bonuses tied to revenue cycle KPIs and team goals.
• Flexible scheduling that respects focus time and personal productivity rhythms.

Why This Remote Role Matters

Every clean claim and recovered dollar expands access to care, funds innovation, and sustains community health initiatives. In this Healthcare Reimbursement Specialist role, you’ll see the direct line between your diligence and tangible outcomes—fewer denials, faster provider payments, and stronger compliance confidence. From home, you will lead with clarity, turning administrative complexity into strategic advantage.

You’ll thrive alongside peers who value accuracy, transparency, and continuous improvement. Weekly virtual huddles, monthly deep-dives, and quarterly offsites keep us aligned without sacrificing flexibility. We measure success by sustainable growth and team wellbeing, ensuring you have the insights, tools, and trust to perform at your peak.

Ready to Advance Revenue Integrity from Home?

If you’re passionate about optimizing reimbursement and elevating care through operational excellence, this fully remote opportunity offers the platform you need. Shape policy, sharpen processes, and secure the revenue that fuels progress—one claim, one contract, and one insight at a time. Bring your expertise to a team that values precision, agility, and impact, and build a career designed for the long term from the comfort of your home office.