Remote Healthcare Reimbursement Specialist for United States – Drive Financial Excellence in Patient Care

Join a leading telehealth organization as a Remote Healthcare Reimbursement Specialist and master the art of maximizing revenue while ensuring compliance. This fully remote role offers competitive compensation, flexible scheduling, and the opportunity to impact patient outcomes across the nation.

About the Role

Our fully remote Healthcare Reimbursement Specialist will be the cornerstone of the revenue cycle, expertly navigating complex payer contracts, coding guidelines, and claim adjudication processes. Working from home, you will collaborate with clinical teams, billing managers, and technology partners to ensure accurate, timely, and compliant reimbursement for a diverse portfolio of medical services.

Key Responsibilities

• Review and adjudicate incoming insurance claims, identifying and correcting errors to maximize reimbursement.
• Reconcile patient billing statements, resolve denials, and communicate clear resolution pathways with payers and providers.
• Maintain up‑to‑date knowledge of federal and state regulations, including HIPAA, Medicare, and Medicaid requirements.
• Utilize specialized software (e.g., Epic, Athenahealth, Kareo) to track claim status, generate reports, and produce performance metrics.
• Conduct regular audits of billing practices to ensure adherence to compliance standards and internal policies.
• Provide training and support to clinical staff on proper documentation and coding techniques to reduce claim rejections.

Requirements

Qualifications

• Minimum 3 years of experience in healthcare revenue cycle management or medical billing within a hospital, clinic, or billing service environment.
• Proven track record of achieving high claim acceptance rates and low denial percentages.
• Strong understanding of ICD‑10, CPT, and HCPCS coding systems.
• Proficiency with electronic health record (EHR) and revenue cycle management (RCM) platforms.
• Excellent analytical skills with the ability to interpret complex billing data and trends.

Skills

• Exceptional written and verbal communication for interacting with payers, patients, and internal teams.
• Detail‑oriented mindset with strong organizational abilities to manage multiple claim workflows simultaneously.
• Problem‑solving aptitude to quickly resolve claim issues and negotiate with insurance carriers.
• Ability to work independently in a remote setting while maintaining high productivity and meeting strict deadlines.
• Familiarity with HIPAA privacy and security protocols.

Benefits

• Competitive salary ranging from $45,000 to $65,000 USD per year, with performance‑based bonuses.
• Comprehensive health, dental, and vision insurance plans.
• 401(k) matching and retirement planning resources.
• Generous paid time off, holidays, and flexible work hours to support work‑life balance.
• Ongoing professional development, including certification reimbursements for CPC, CCS‑P, or other industry credentials.
• State‑of‑the‑art home office stipend and high‑speed internet allowance.

Work Environment

This position is 100% remote, allowing you to design a workspace that maximizes comfort and efficiency. You will join a supportive, fully distributed team that meets virtually for daily stand‑ups, weekly strategy sessions, and quarterly virtual retreats. Our culture emphasizes transparency, continuous learning, and mutual respect, ensuring you have the resources and autonomy needed to excel.

Salary Range

$45,000 – $65,000 USD/year (based on industry standards and candidate experience)