Remote Healthcare Reimbursement Specialist for U.S. Residents – Join a Leading Healthcare Tech Team!

As a Remote Healthcare Reimbursement Specialist, you’ll be the critical bridge between medical service providers and insurance payers, ensuring accurate claims processing, maximizing reimbursements, and maintaining compliance in a fully remote, flexible work environment. This high‑impact role offers the chance to work with cutting‑edge healthcare technology from the comfort of your home while contributing to the financial health of premier health networks across the nation.

Salary Range

Competitive compensation for this remote position is estimated at **$45,000 – $65,000 USD per year**, depending on experience, certifications, and the complexity of the payer networks you support.

About the Role

Our client is a fast‑growing, nationally recognized healthcare technology firm that empowers hospitals, clinics, and physician groups with end‑to‑end revenue cycle management solutions. In this remote role, you will manage the entire reimbursement cycle—from initial claim submission to denial tracking, appeals, and final payment reconciliation—using a cloud‑based platform that centralizes all payer interactions.

Key Responsibilities

• Process and submit medical claims accurately and within deadlines using the company’s SaaS reimbursement system.
• Monitor claim status, respond to payer inquiries, and resolve discrepancies to optimize reimbursement rates.
• Conduct thorough denial analysis, prepare appeals, and track resolution metrics to improve overall denial rates.
• Maintain detailed documentation and ensure compliance with HIPAA, CMS, and relevant state regulations.
• Generate and analyze reimbursement reports for internal stakeholders, identifying trends and opportunities for process improvement.
• Collaborate with clinical documentation improvement teams and coding specialists to ensure claim integrity.

Requirements

• Associate’s or Bachelor’s degree in Health Information Management, Business Administration, or related field (or equivalent experience).
• At least 2–3 years of experience in medical claims processing, ideally within a payer‑provider revenue cycle environment.
• Strong knowledge of CPT, ICD‑10, and HCPCS coding systems.
• Familiarity with major insurance payers (Medicare, Medicaid, commercial insurers) and their reimbursement policies.
• Proficient with Microsoft Office Suite and healthcare reimbursement software (e.g., Epic, Cerner, Accelity).
• Excellent analytical skills, attention to detail, and the ability to manage multiple claims concurrently.
• Self‑driven, reliable, and able to thrive in a fully remote work setting with minimal supervision.

Benefits

• Full remote flexibility – work from anywhere in the U.S.
• Comprehensive health, dental, and vision insurance (available remotely).
• Generous paid time off and company‑paid holidays.
• Continuous professional development and certification support.
• State‑of‑the‑art reimbursement technology and dedicated support team.
• Performance‑based bonuses and profit‑sharing opportunities.

Why Choose This Remote Position

Joining our remote Healthcare Reimbursement Specialist team means becoming part of a forward‑thinking organization that values work‑life balance, leverages cutting‑edge technology, and empowers employees to make a tangible impact on healthcare delivery. You’ll enjoy a supportive virtual environment, clear career pathways, and the flexibility to design your own optimal workspace—all while contributing to a mission that improves patient access and provider revenue.

If you’re a detail‑oriented professional with a passion for healthcare finance and the freedom to work remotely, this is your chance to drive excellence in reimbursement operations from the comfort of home. Explore this exciting remote opportunity and help shape the future of healthcare revenue management.