AI Summary / Key Details
- Role: Remote Healthcare Reimbursement Specialist – Join Our Innovative Team
- 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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Looking for a career that blends healthcare expertise with the freedom of remote work? HealthFirst Solutions is hiring a dedicated Healthcare Reimbursement Specialist to streamline claims processing and enhance patient satisfaction from anywhere in the world. Join a forward‑thinking team that values precision, collaboration, and continuous growth.
About the Role
As a Healthcare Reimbursement Specialist, you will be the linchpin in our claims management process. Your primary focus will be to review, verify, and process reimbursement claims for a diverse portfolio of providers and patients. You’ll work closely with our billing, compliance, and customer service teams to ensure accurate, timely payments and to resolve any discrepancies that arise.
Key Responsibilities
- Review and validate medical claims against payer guidelines and internal policies.
- Coordinate with providers, insurers, and patients to resolve claim denials or payment issues.
- Maintain meticulous records of claim status, payment history, and audit trails.
- Analyze reimbursement trends and recommend process improvements.
- Stay current with CMS regulations, payer contracts, and industry best practices.
- Provide training and support to junior staff on claim processing workflows.
Requirements
- Minimum of 2 years experience in healthcare reimbursement, medical billing, or a related field.
- Strong understanding of CMS guidelines, payer contracts, and medical coding (ICD‑10, CPT, HCPCS).
- Proficiency with electronic health record (EHR) systems and billing software (e.g., Athenahealth, Epic).
- Excellent analytical, problem‑solving, and communication skills.
- Self‑motivated, detail‑oriented, and able to thrive in a fully remote environment.
- High school diploma required; associate’s or bachelor’s degree in health administration, business, or a related discipline preferred.
Benefits
- Competitive Salary: $55,000 – $75,000 USD per year, commensurate with experience.
- Fully remote work with flexible hours to support work‑life balance.
- Comprehensive health, dental, and vision insurance plans.
- 401(k) retirement plan with company match.
- Generous paid time off, including sick leave and holidays.
- Continuous professional development: tuition reimbursement, certifications, and conference sponsorships.
- Access to a virtual wellness program, including mindfulness sessions and fitness stipends.
- Monthly virtual team building events and quarterly all‑hands meetings.
Why HealthFirst Solutions?
At HealthFirst Solutions, we’re redefining how healthcare reimbursement is handled by combining cutting‑edge technology with a culture of transparency and collaboration. Our remote team enjoys the freedom to work from anywhere while staying connected through robust digital tools and regular virtual check‑ins. We celebrate diversity, encourage innovation, and reward performance with clear career advancement paths.
How to Apply
Ready to bring your expertise to a dynamic, remote team? Send your resume and a brief cover letter outlining your relevant experience to hr@healthfirstsolutions.com. We look forward to exploring how you can contribute to our mission of delivering exceptional reimbursement solutions worldwide.
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