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

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Are you a detail‑oriented reimbursement pro who thrives in a virtual environment? Our client, a cutting‑edge health‑technology firm, is seeking a remote specialist to streamline claims, maximize payments, and support providers nationwide. Enjoy flexible hours, a collaborative culture, and a competitive compensation package—all from the comfort of your home office.

Salary Range

$55,000 – $75,000 USD per year (based on experience, certifications, and geographic cost‑of‑living adjustments).

About the Role

The Remote Healthcare Reimbursement Specialist will be the linchpin between providers, payers, and our internal billing platform. You’ll interpret payer policies, submit clean claims, and resolve denials quickly, ensuring a smooth revenue cycle for our network of physicians and clinics.

Key Responsibilities

• Review and process medical claims for accuracy, completeness, and compliance with federal and state regulations.
• Investigate and appeal denied or under‑paid claims, providing thorough documentation and timely follow‑up.
• Maintain up‑to‑date knowledge of Medicare, Medicaid, and commercial payer policies.
• Collaborate with providers to capture appropriate coding (ICD‑10, CPT, HCPCS) and support documentation.
• Generate daily, weekly, and monthly reimbursement reports for management review.
• Train and mentor junior staff on best practices in claim submission and denial management.
• Utilize the company’s proprietary billing software and electronic health record (EHR) integrations to automate workflows.

What You’ll Need

Essential Qualifications

• 2+ years of experience in medical billing, coding, or reimbursement, preferably in a remote setting.
• Certified Professional Biller (CPB) or Certified Coding Specialist (CCS) credential is highly preferred.
• Strong understanding of Medicare Part A/B, Medicaid, and major commercial payer rules.
• Proficiency with billing platforms (e.g., Epic, Cerner, AdvancedMD) and Microsoft Office Suite.
• Excellent written and verbal communication skills; ability to explain complex payer guidelines clearly.
• Self‑motivated, organized, and capable of managing multiple claim queues simultaneously.

Nice‑to‑Have Skills

• Experience with value‑based care models and quality reporting (e.g., HEDIS, MACRA).
• Familiarity with HIPAA compliance and data security best practices for remote work.
• Background in health‑tech startups or SaaS billing solutions.

Benefits & Perks

• Fully remote – work from anywhere in the United States.
• Competitive salary with annual performance bonus potential.
• Comprehensive health, dental, and vision insurance.
• 401(k) plan with company match.
• Generous paid time off (PTO) and paid holidays.
• Professional development stipend for certifications and continuing education.
• Home office allowance (up to $500) for ergonomic equipment.
• Monthly virtual team‑building events and quarterly in‑person retreats (travel expenses covered).

Why This Remote Role Stands Out

Our client invests heavily in technology that empowers remote staff to perform at the same level as on‑site teams. You’ll receive a company‑provided laptop, secure VPN access, and a dedicated IT support line. The role offers a clear career trajectory—from specialist to senior analyst, and eventually to revenue cycle manager—without ever leaving your home office.

How to Stand Out

When applying, highlight specific examples where you reduced claim denial rates or increased reimbursement percentages. Include any measurable outcomes (e.g., “Reduced denial rate by 18% within six months”) and attach copies of relevant certifications.

Next Steps

If you’re ready to leverage your reimbursement expertise while enjoying the flexibility of remote work, this is the opportunity you’ve been waiting for. Review the qualifications, assess the benefits, and prepare a concise cover letter that showcases your impact on previous revenue cycles.

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