AI Summary / Key Details
- Role: Remote Healthcare Reimbursement Specialist – Nationwide Remote Opportunity – Unlock Your Career in Healthcare Finance!
- Compensation: $25 - $45 / hr
- Location: Remote
- How to apply: Click the Apply Now button on this page to submit your resume.
Recent Activity
Join a leading healthcare organization as a Remote Healthcare Reimbursement Specialist, where you’ll master claim adjudication, reduce denials, and ensure timely revenue for providers. This fully remote role offers competitive compensation, flexible hours, and the chance to impact the financial health of hospitals and clinics across the country.
About the Role
We are seeking a detail‑oriented Healthcare Reimbursement Specialist to join our remote finance team. In this position you will analyze patient billing records, coordinate with coding and clinical staff, and resolve claim issues to maximize reimbursement rates. The role demands a deep understanding of Medicare, Medicaid, and private payer policies, as well as proficiency with electronic health record (EHR) and revenue cycle management (RCM) systems. As a fully remote professional you will collaborate virtually with cross‑functional teams while maintaining strict compliance with HIPAA and industry regulations.
Key Responsibilities
- Review and adjudicate incoming claims to verify accuracy and compliance with payer contracts.
- Identify and correct coding errors, missing documentation, and denial reasons to improve first‑pass claim rates.
- Communicate directly with providers, insurers, and patients to resolve billing inquiries and appeal decisions.
- Monitor daily reimbursement metrics, generate performance reports, and propose process improvements.
- Maintain up‑to‑date knowledge of payer policy changes, regulatory updates, and emerging reimbursement trends.
Requirements
Qualifications
- Associate’s or bachelor’s degree in Health Information Management, Medical Billing, or a related field.
- Minimum of 3 years of experience in healthcare reimbursement, preferably in a remote or virtual environment.
- Proficiency with RCM platforms such as Epic, Meditech, or Athenahealth, and strong command of Excel for data analysis.
- Excellent written and verbal communication skills for negotiating with payers and educating staff.
- Strong analytical abilities to interpret complex billing data and identify trends.
Salary Range
$48,000 – $68,000 USD/year, commensurate with experience and performance.
Benefits
What We Offer
- Competitive salary plus performance‑based bonuses.
- Comprehensive health, dental, and vision insurance with low employee contributions.
- 401(k) plan with employer matching and annual profit‑sharing opportunities.
- Generous paid time off, holidays, and flexible work‑from‑home schedule.
- Continuing education stipend and access to professional certification reimbursements (e.g., CCS‑P, CCP).
- Monthly virtual wellness webinars and employee assistance programs.
Why Join Us
Our organization is recognized for its commitment to innovation, employee well‑being, and financial excellence. As a Remote Healthcare Reimbursement Specialist you will work with a collaborative, fully distributed team that values autonomy and professional growth. You’ll have the opportunity to lead process improvement initiatives, mentor junior staff, and contribute to strategic revenue cycle projects that directly affect the organization’s bottom line. Join us and shape the future of healthcare finance from the comfort of your home.