Remote Healthcare Reimbursement Specialist – Work From Home, High‑Impact Role

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Are you passionate about navigating the complexities of medical billing and ensuring patients get the coverage they deserve? Our fast‑growing health‑tech company is seeking a detail‑oriented, customer‑focused reimbursement specialist to join our fully remote team and make a real difference in patient outcomes.

💰 Salary Range

$48,000 – $68,000 USD per year (depending on experience and certifications)

About the Role

As a Remote Healthcare Reimbursement Specialist, you will be the bridge between patients, providers, and insurance carriers. You’ll analyze claims, identify errors, and advocate for correct reimbursements—all from the comfort of your home office. This position offers a blend of investigative work, customer service, and continuous learning about evolving payer policies.

Key Responsibilities

• Review and process medical claims for accuracy, completeness, and compliance with payer guidelines.
• Conduct thorough investigations of denied or under‑paid claims and prepare persuasive appeals.
• Communicate clearly with patients, providers, and insurance representatives to resolve billing issues.
• Maintain up‑to‑date knowledge of Medicare, Medicaid, and private insurer policies.
• Document all interactions and outcomes in the company’s EMR and CRM systems.
• Identify trends in claim denials and recommend process improvements to leadership.

Requirements

• High school diploma or GED required; Associate’s or Bachelor’s degree in Health Administration, Business, or related field preferred.
• Minimum 2 years experience in medical billing, coding, or reimbursement, preferably in a tele‑health environment.
• Strong understanding of CPT, HCPCS, and ICD‑10 coding systems.
• Excellent written and verbal communication skills; empathy when dealing with patients.
• Proficiency with claims management software (e.g., Navicure, ClaimMD) and Microsoft Office Suite.
• Self‑starter with a reliable high‑speed internet connection and a quiet home workspace.
• Certification such as Certified Professional Biller (CPB) or Certified Coding Specialist (CCS) is a plus.

What We Offer

• Fully Remote Flexibility: Work from anywhere in the U.S. with a flexible schedule that respects your work‑life balance.
• Competitive Compensation: Base salary plus performance‑based bonuses tied to claim recovery rates.
• Comprehensive Benefits: Medical, dental, vision, 401(k) match, and paid time off.
• Professional Development: Access to industry webinars, certification reimbursement, and a mentorship program.
• Collaborative Culture: Regular virtual team huddles, cross‑functional projects, and a supportive leadership team.

Why Join Our Team?

We are a technology‑driven health‑services company that believes remote work fuels innovation. Our mission is to simplify the reimbursement journey for patients and providers alike. As part of our team, you’ll have the autonomy to shape processes, the tools to succeed, and the community that celebrates every win—big or small.

How to Stand Out

When you apply, highlight any experience you have with:

• Appealing denied claims and achieving a high overturn rate.
• Working with multiple payer systems simultaneously.
• Implementing workflow improvements that reduced claim processing time.

Showcasing measurable results (e.g., “recovered $150K in under‑paid claims in 6 months”) will set you apart.

Next Steps

If you’re ready to combine your billing expertise with a truly remote lifestyle, we’d love to hear from you. Submit your resume and a brief cover letter outlining your most proud reimbursement success story.

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