Remote Healthcare Reimbursement Specialist – Nationwide Opportunity!

Join a fast‑growing healthcare revenue cycle team that values precision, compliance, and career advancement. As a Remote Healthcare Reimbursement Specialist, you’ll play a pivotal role in maximizing claim accuracy and ensuring timely payments for a diverse client portfolio. This position offers flexible work hours, cutting‑edge technology, and the chance to impact the financial health of leading medical providers across the country.

About the Role

Our organization is seeking a detail‑oriented professional to manage end‑to‑end reimbursement processes for outpatient and inpatient services. You will collaborate with coding teams, physicians, and payers to resolve denials, optimize reimbursement rates, and maintain rigorous audit trails. The role is fully remote, allowing you to contribute from any location while adhering to strict confidentiality and regulatory standards.

Key Responsibilities

• Analyze and process claim submissions to ensure compliance with Medicare, Medicaid, and commercial payer policies.
• Investigate and resolve claim denials, coordinating with providers to gather necessary documentation.
• Maintain accurate records in electronic health record (EHR) and revenue cycle management (RCM) systems.
• Prepare periodic reimbursement reports and identify trends that could improve cash flow.
• Stay current with evolving healthcare regulations and payer requirements.

Requirements

Candidates must possess a strong foundation in medical billing and coding terminology, along with proven experience in claim resolution and payer communication. The ideal specialist thrives in a fast‑paced remote environment and demonstrates excellent problem‑solving abilities.

Education and Experience

• Associate’s or Bachelor’s degree in Health Information Management, Business Administration, or a related field.
• Minimum 3 years of hands‑on experience in healthcare reimbursement, preferably within a hospital or multi‑specialty clinic setting.
• Proficiency with RCM platforms such as Epic, Cerner, or Athenahealth.
• Certification (e.g., CPC, CRC) is strongly preferred but not mandatory.

Benefits

Our comprehensive benefits package is designed to support your professional growth and personal well‑being:

• Competitive salary with annual performance bonuses.
• 100% remote work flexibility and generous paid time off.
• Comprehensive health, dental, and vision coverage.
• 401(k) plan with company match and continuous learning stipend.
• Wellness programs including virtual fitness classes and mental health resources.

Why Join Us

We are a leader in revenue cycle consulting, recognized for innovative solutions that drive sustainable financial performance for our clients. By becoming part of our team, you’ll benefit from a collaborative culture that encourages mentorship, continuous education, and the opportunity to influence industry best practices. Your expertise will directly contribute to the financial resilience of the healthcare providers we serve.

Salary & Compensation

Salary Range: $55,000 – $75,000 USD per year, commensurate with experience and qualifications.

In addition to base compensation, employees enjoy performance incentives, a robust benefits suite, and opportunities for career advancement within a supportive remote environment.