AI Summary / Key Details
- Role: Remote Healthcare Reimbursement Specialist – Join a Leading Telehealth Innovator
- Compensation: $25 - $45 / hr
- Location: Remote
- How to apply: Click the Apply Now button on this page to submit your resume.
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Are you passionate about improving patient access to care while mastering the intricacies of medical billing? Our award‑winning telehealth platform is looking for a skilled Healthcare Reimbursement Specialist to join our fully remote team. You’ll play a pivotal role in ensuring accurate, timely reimbursements for providers and patients alike, all while enjoying the flexibility and autonomy that come with a 100% remote position.
About the Role
As a Healthcare Reimbursement Specialist, you will be the linchpin between our clinical teams, insurance partners, and patients. Your primary focus will be to review, process, and resolve reimbursement claims, ensuring compliance with payer policies and industry regulations. You’ll collaborate closely with our billing, compliance, and customer support teams to drive continuous improvement in our reimbursement workflows.
Key Responsibilities
- Review and audit medical claims for accuracy, completeness, and adherence to payer guidelines.
- Process and submit claims electronically via EDI and other payer portals.
- Track claim status, follow up on denials, and coordinate appeals with providers and payers.
- Maintain detailed records of claim activity, denial reasons, and resolution outcomes.
- Analyze reimbursement trends and generate monthly reports for finance and operations.
- Stay current on payer policy changes, CMS updates, and industry best practices.
- Provide training and support to clinical staff on billing and coding standards.
Requirements
- Bachelor’s degree in Health Administration, Finance, or related field (or equivalent experience).
- Minimum of 2 years’ experience in medical billing, coding, or reimbursement within a healthcare setting.
- Proficiency with EDI, ClaimCenter, or similar billing platforms.
- Strong knowledge of CPT, ICD‑10, HCPCS coding, and payer contract nuances.
- Excellent analytical, problem‑solving, and communication skills.
- Self‑motivated, detail‑oriented, and able to thrive in a remote, collaborative environment.
- Valid U.S. work authorization (remote work is open to all U.S. states).
Benefits
- Competitive salary range: $55,000 – $75,000 USD per year, commensurate with experience.
- Fully remote work with flexible hours – work from anywhere in the U.S.
- Comprehensive health, dental, and vision insurance plans.
- 401(k) with company match and generous paid time off.
- Continuous learning stipend and access to industry conferences.
- Collaborative culture that values innovation, diversity, and work‑life balance.
Work Environment
Our team operates on a hybrid model of asynchronous communication and weekly virtual stand‑ups. You’ll have access to top‑tier collaboration tools (Slack, Zoom, Asana) and a dedicated IT support team to ensure a seamless remote experience. We celebrate achievements with virtual team events and recognize individual contributions through quarterly awards.
How to Apply
Ready to elevate your career in healthcare reimbursement? Send your résumé and a brief cover letter outlining your relevant experience to careers@telehealthinnovators.com. In the subject line, please include “Remote Healthcare Reimbursement Specialist Application.” We look forward to exploring how your expertise can help us transform patient care.
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