Remote Healthcare Reimbursement Specialist – Join Our Innovative Team

Are you passionate about streamlining patient billing and ensuring accurate reimbursements? Our leading health services company is looking for a detail‑oriented Healthcare Reimbursement Specialist to help patients receive the care they deserve while maintaining financial integrity. Work from anywhere, enjoy a flexible schedule, and grow your career in a supportive, technology‑driven environment.

About the Role

As a Healthcare Reimbursement Specialist, you will be the backbone of our revenue cycle, reviewing claims, resolving discrepancies, and collaborating with providers and insurers to secure timely payments. You’ll work closely with our medical billing team, insurance liaison staff, and client services to ensure every claim is accurate, compliant, and fully optimized.

Key Responsibilities

• Process and review medical claims for accuracy against payer guidelines and internal policies.
• Investigate claim denials and rejections, identify root causes, and develop corrective action plans.
• Communicate with insurance carriers, hospitals, and physicians to resolve payment issues.
• Maintain detailed records of all reimbursement activities and generate monthly performance reports.
• Stay up to date with changes in coding standards, payer contracts, and healthcare regulations.
• Participate in continuous improvement projects to enhance claim processing efficiency.

Requirements

Essential Qualifications

• Bachelor’s degree in Healthcare Administration, Finance, or related field (or equivalent experience).
• 3+ years of experience in medical billing, reimbursement, or revenue cycle management.
• Proficiency with electronic health record (EHR) systems and billing software (e.g., Kareo, AdvancedMD).
• Strong understanding of CPT, ICD-10, and HCPCS coding schemes.
• Excellent analytical skills with a keen eye for detail and accuracy.
• Effective communication skills—both written and verbal—to liaise with diverse stakeholders.
• Self‑motivated, adaptable, and comfortable working independently in a remote setting.

Preferred Skills

• Experience with payer portals and electronic remittance advice Quels.
• Knowledge of ASC (Ambulatory Surgical Center) billing processes.
• Previous exposure to Medicare hanger and Medicaid reimbursement workflows.
• Certifications such as Certified Professional Biller (CPB) or Certified Professional Coder (CPC).

Salary Range

$48,000 – $68,000 USD per year (based on industry standards and experience)

Benefits

Comprehensive Health & Wellness

• Full coverage health, dental, and vision plans with no waiting period.
• Wellness stipend for gym memberships, meditation apps, or health coaching.
• Employee assistance program (EAP) for mental and financial well‑being.

Financial Security PDA

• Competitive 401(k) plan with company match up to 4%.
• Annual performance bonus potential based on company andേധ performance.
• Paid time off (PTO) plus holiday and sick leave.

Professional Growth

• Annual tuition reimbursement for industry‑relevant courses or certifications.
• Access to a curated library of webinars, podcasts, and conferences.
• Mentorship program pairing new hires with seasoned revenue cycle leaders.
• Annual performance reviews with clear career advancement pathways.

Remote Work Perks

• Fully equipped home office stipend (up to $1,000 per year).
• Flexible work hours to accommodate different time zones and family commitments.
• Monthly virtual team‑building events and quarterly all‑hands meetings.
• Access to state‑of‑the‑art collaboration tools (Slack, Zoom, Asana).

Why Join Us?

Our organization stands at the intersection of cutting‑edge technology and compassionate patient care. By joining our remote team, you’ll enjoy the freedom to work from anywhere while contributing to a mission that directly improves patient outcomes and financial sustainability. We value innovation, integrity, and a collaborative spirit—qualities that thrive in a virtual environment.

Next Steps

Ready to bring your expertise to a forward‑thinking healthcare company? Review the role details, and if you’re excited to help patients receive the care they deserve—and the payments they’re owed—reach out with your resume and a brief cover letter outlining your experience in medical reimbursement.

We look forward to exploring how your skills can help shape the future of healthcare billing and reimbursement.