Healthcare Reimbursement Specialist – Remote – Join a Fast‑Growing HealthTech Team!

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Are you a detail‑oriented professional with a passion for navigating insurance claims and maximizing patient benefits? Our innovative HealthTech company is looking for a remote Healthcare Reimbursement Specialist to streamline reimbursement processes and deliver top‑notch service to our nationwide client base.

Salary Range

$45,000 – $65,000 USD per year (based on experience, certifications, and geographic cost‑of‑living adjustments). The role also includes performance bonuses, a comprehensive benefits package, and a flexible work‑from‑home environment.

About the Role

As a Healthcare Reimbursement Specialist, you will act as the bridge between patients, providers, and insurers. Your day‑to‑day responsibilities will include reviewing medical claims, verifying eligibility, submitting appeals, and ensuring that reimbursements are processed accurately and promptly. You’ll collaborate with our billing, clinical, and customer‑support teams to resolve complex billing issues and improve overall revenue cycle efficiency.

Key Responsibilities

• Analyze and process medical claims for accuracy, completeness, and compliance with payer guidelines.
• Research denied or underpaid claims, prepare and submit appeals with supporting documentation.
• Communicate clearly with patients, providers, and insurance representatives to resolve billing questions.
• Maintain up‑to‑date knowledge of Medicare, Medicaid, and private payer policies.
• Track key performance metrics (e.g., turnaround time, denial rates) and suggest process improvements.
• Document all interactions in the company’s CRM system to ensure audit readiness.

Requirements

• 2+ years of experience in healthcare reimbursement, medical billing, or claims analysis.
• Strong understanding of CPT, HCPCS, ICD‑10 coding and payer-specific rules.
• Excellent written and verbal communication skills; ability to explain complex concepts in plain language.
• Proficiency with billing software (e.g., Epic, Cerner, AdvancedMD) and Microsoft Office Suite.
• High degree of organization, attention to detail, and ability to meet tight deadlines.
• Remote‑work ready: reliable high‑speed internet, a dedicated home office space, and a quiet environment for client calls.
• Certification such as Certified Professional Biller (CPB) or Certified Coding Specialist (CCS) is a plus.

Benefits & Perks

• Fully remote position – work from anywhere in the United States.
• Flexible schedule with core hours (10 am – 4 pm EST) to accommodate different time zones.
• Health, dental, and vision insurance with company contributions.
• 401(k) plan with matching contributions.
• Generous paid time off (PTO) and holidays.
• Professional development stipend for certifications, conferences, or online courses.
• Technology allowance for home‑office equipment and high‑speed internet.
• Employee Assistance Program (EAP) and wellness resources.

Why Join Our Team?

Our mission is to simplify the healthcare payment experience for patients and providers alike. As a remote member of a fast‑growing, technology‑driven company, you’ll have the autonomy to shape processes, the support of a collaborative leadership team, and the satisfaction of knowing your work directly improves patient outcomes.

How to Stand Out

When applying, highlight any experience you have with:

• Complex appeal cycles for Medicare Advantage or commercial payers.
• Automation tools such as robotic process automation (RPA) or AI‑assisted claim validation.
• Cross‑functional projects that reduced denial rates or improved cash flow.

Showcasing quantifiable results (e.g., “Reduced claim denial rate by 18% within 6 months”) will capture our attention.

Next Steps

If you’re ready to make a tangible impact while enjoying the freedom of remote work, we’d love to hear from you. Submit your resume and a brief cover letter outlining your most relevant achievements in healthcare reimbursement.

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