Remote Healthcare Reimbursement Specialist – Join a Growing HealthTech Team

We are seeking a detail‑oriented Healthcare Reimbursement Specialist to ensure accurate claim processing, maximize revenue capture, and support our mission of delivering seamless financial solutions for healthcare providers. This fully remote position offers the flexibility to work from anywhere while collaborating with a dynamic, innovative team dedicated to improving healthcare economics.

About the Role

As a Healthcare Reimbursement Specialist, you will serve as the vital link between clinical services and financial operations. You will review, submit, and follow up on insurance claims, analyze denial trends, and work closely with providers, payers, and internal stakeholders to optimize reimbursement cycles. Your expertise will directly impact cash flow and help our clients maintain financial health in an ever‑changing regulatory landscape.

Key Responsibilities

• Prepare and submit accurate medical claims to private insurers, Medicare, and Medicaid.
• Monitor claim status, identify processing delays, and initiate timely follow‑ups.
• Analyze denial and underpayment patterns; develop corrective action plans.
• Ensure compliance with coding standards (CPT, HCPCS, ICD‑10) and payer‑specific guidelines.
• Generate monthly reimbursement reports and present insights to management.
• Assist in training clinical and billing staff on documentation best practices.
• Stay current with healthcare reimbursement regulations, policy changes, and industry trends.

Requirements

• Minimum 2 years of experience in medical billing, claims adjudication, or healthcare reimbursement.
• Strong knowledge of CPT, HCPCS, and ICD‑10 coding systems.
• Familiarity with major payer policies, including Medicare and Medicaid guidelines.
• Proficiency with electronic health record (EHR) and practice management systems (e.g., Epic, Cerner, Athenahealth).
• Excellent analytical skills with the ability to interpret data and identify trends.
• Effective communication abilities for interacting with providers, payers, and internal teams.
• Self‑motivated, organized, and capable of managing multiple priorities in a remote setting.
• Associate’s or Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field preferred.

Benefits

• Competitive salary range: $48,000 – $68,000 USD per year (based on experience).
• Fully remote work environment – set up your ideal home office.
• Comprehensive health, dental, and vision insurance plans.
• 401(k) retirement plan with company match.
• Generous paid time off and company holidays.
• Professional development stipend for certifications (e.g., CPB, CPC) and continuing education.
• Wellness programs, including virtual fitness classes and mental health resources.
• Collaborative culture with regular virtual team‑building events.

Why Join Us?

Our organization is at the forefront of healthcare financial innovation, leveraging technology to reduce administrative burden and improve provider reimbursement. By joining our team, you will contribute to meaningful change while enjoying the autonomy and work‑life balance that a remote role provides. We value continuous learning, encourage initiative, and recognize the impact each team member makes on our shared success.