Remote Healthcare Reimbursement Specialist for Residents of Florida – Boost Your Career from Anywhere

Join a dynamic team that empowers you to manage complex reimbursement processes from the comfort of your home. This fully remote role offers competitive compensation, flexible hours, and the chance to make a tangible impact on patient financial experiences across the Sunshine State.

About the Role

We are seeking a detail‑oriented Healthcare Reimbursement Specialist to oversee the end‑to‑end billing cycle for a variety of medical services. In this position you will analyze payer policies, submit precise claim documentation, and resolve denials to ensure timely reimbursement for providers throughout Florida. Working remotely, you will collaborate with clinicians, billing managers, and compliance officers to uphold the highest standards of accuracy and efficiency.

Key Responsibilities

• Review and code medical claims according to ICD‑10, CPT, and HCPCS standards.
• Submit and track claims electronically, ensuring compliance with payer requirements.
• Investigate and appeal denied or underpaid claims, negotiating optimal reimbursement rates.
• Maintain up‑to‑date knowledge of federal and state billing regulations.
• Generate detailed reports on claim status, denial trends, and revenue performance.
• Serve as a liaison between clinical staff and insurance representatives to clarify documentation needs.

Requirements

Candidates must possess a strong foundation in medical billing and reimbursement processes, coupled with excellent analytical and communication skills. A proven track record of meeting strict deadlines and delivering high‑quality results is essential.

• Associate’s or Bachelor’s degree in Health Administration, Business, or a related field.
• Minimum 2 years of experience in healthcare reimbursement, preferably within a hospital or physician practice setting.
• Proficiency with electronic health record (EHR) systems and billing software such as Epic, Athenahealth, or Kareo.
• In‑depth understanding of Medicare, Medicaid, and commercial payer policies.
• Exceptional attention to detail and problem‑solving abilities.
• Strong written and verbal communication skills.

Preferred Qualifications

While not mandatory, the following experiences will give applicants a competitive edge:

• Certified Professional Biller (CPB) or Certified Reimbursement Specialist (CRS) credential.
• Familiarity with telehealth billing regulations.
• Experience working in a remote, virtual team environment.

Benefits

Our comprehensive benefits package is designed to support your professional growth and personal well‑being:

• Competitive salary ranging from $45,000 to $65,000 USD per year, commensurate with experience.
• Full health, dental, and vision insurance coverage.
• 401(k) plan with employer matching contributions.
• Generous paid time off and flexible holiday schedule.
• Continuous learning opportunities, including access to industry webinars and certification reimbursements.
• Remote‑work stipend for home office setup and internet expenses.

Why Join Us?

By choosing this remote opportunity, you will enjoy the freedom of a location‑independent work environment while contributing to a mission‑driven organization that values accuracy, integrity, and patient advocacy. Our collaborative culture encourages innovation, and our leadership is committed to fostering a supportive atmosphere that empowers employees to thrive both professionally and personally.

Ready to Elevate Your Career?

If you are a proactive specialist eager to leverage your expertise in a fully remote setting, we invite you to explore this exciting role. Join us in shaping the future of healthcare reimbursement for Florida’s thriving medical community, all while enjoying the flexibility of working from anywhere.