Healthcare Reimbursement Specialist in Austin, Texas: Where Your Expertise Fuels Patient Care and Financial Integrity

Step into a critical role that bridges clinical excellence with fiscal responsibility. As a Healthcare Reimbursement Specialist, you will be the cornerstone of our revenue cycle, ensuring accurate and timely reimbursement for services rendered. Your work directly supports our mission to provide exceptional patient care by safeguarding the financial health of our organization.

About the Role

In this dynamic position, you will manage the complex journey of a claim from patient intake to final payment. You are more than a biller; you are a financial analyst, a compliance guardian, and a patient advocate. You will navigate the intricate landscapes of insurance contracts, government payor rules (including Medicare and Medicaid), and patient responsibility. Your meticulous attention to detail ensures that our clinical efforts are translated into proper reimbursement, minimizing denials and maximizing revenue to fund ongoing patient care initiatives.

Core Responsibilities

• Perform comprehensive claim entry, scrubbing, and submission for medical services across various specialties.
• Conduct root cause analysis on claim denials, implement corrective actions, and manage the appeals process with precision and persistence.
• Reconcile daily payments, post remittance advice (ERAs), and accurately account for patient responsibility, including co-pays and deductibles.
• Maintain up-to-date knowledge of ICD-10, CPT, and HCPCS coding standards, as well as payer-specific policies and regulations (HIPAA, ACA).
• Collaborate seamlessly with clinical coders, front-desk staff, and finance teams to resolve discrepancies and streamline the reimbursement cycle.
• Generate and analyze key performance indicators (KPIs) like Days in A/R, Denial Rate, and Clean Claim Rate to identify trends and recommend process improvements.

What You Bring: The Ideal Profile

Essential Qualifications & Experience

• Associate’s degree in Health Information Management, Business Administration, or a related field. Bachelor’s degree preferred.
• Minimum of 3 years of hands-on experience in medical billing, healthcare reimbursement, or revenue cycle management within a clinic, hospital, or ambulatory surgery center.
• Proven expertise with major medical billing software (e.g., Epic, Cerner, Athenahealth, or similar) and a strong working knowledge of clearinghouses like Change Healthcare or Availity.
• Certification is a strong plus: Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or Certified Revenue Cycle Representative (CRCR).
• Mastery of the entire reimbursement lifecycle, from eligibility verification to final payment posting and reconciliation.

The Traits That Make You Shine

• Analytical Mindset: You don’t just process; you investigate. You see a denied claim as a puzzle to solve.
• Unwavering Integrity: You handle sensitive financial and patient data with the utmost confidentiality and ethical standards.
• Proactive Communication: You articulate complex billing issues clearly to colleagues, patients, and insurance representatives.
• Resilient Problem-Solver: You thrive under pressure, meet deadlines, and persist through the challenges of the revenue cycle.

Compensation & Benefits

We recognize the critical value of this role. The estimated salary range for this position is $55,000 – $75,000 USD per year, commensurate with your experience, certifications, and proven track record in revenue cycle optimization.

Our comprehensive benefits package is designed to support your whole life, including:

• Health & Wellness: Premium medical, dental, and vision plans for you and your family.
• Financial Security: 401(k) plan with a generous company match, life insurance, and short/long-term disability.
• Work-Life Balance: Generous Paid Time Off (PTO), paid holidays, and a supportive hybrid work model (3 days in-office in Austin, 2 days remote).
• Growth: Annual stipend for continuing education, certifications, and conference attendance to advance your career.
• Perks: Commuter benefits, employee assistance program (EAP), and a collaborative, mission-driven work environment.

Why Join Our Mission?

This isn’t just another billing job. You will join a forward-thinking healthcare organization in Austin that puts patients first. Your work in the reimbursement department has a tangible impact: it allows our physicians to focus on medicine, ensures we can invest in new technology, and keeps our community accessible to all. We foster a culture of collaboration, where your insights into the revenue cycle are valued at the strategic table. If you are ready to elevate your expertise, drive financial health, and contribute to a cause that matters, we want to hear from you.