Remote Healthcare Reimbursement Specialist – Remote Job for residents of Texas – Join a Growing Health Tech Team and Drive Revenue Integrity from Home

Are you passionate about ensuring healthcare providers receive accurate and timely reimbursement? This fully remote position lets you leverage your expertise in medical billing, coding, and payer negotiations while working from the comfort of your Texas home. Join a dynamic team that values innovation, compliance, and the impact of every claim you process.

About the Role

As a Healthcare Reimbursement Specialist, you will be the vital link between clinical services and financial reimbursement. You’ll analyze claims, identify discrepancies, and collaborate with providers and payers to maximize revenue while maintaining strict adherence to regulatory standards. This role offers the flexibility of remote work combined with the challenge of solving complex reimbursement puzzles that directly affect patient care accessibility.

Key Responsibilities

• Review and audit medical claims for accuracy, completeness, and compliance with payer policies.
• Identify underpayments, denials, and coding errors; develop and implement corrective action plans.
• Communicate with insurance carriers, providers, and billing teams to resolve reimbursement issues.
• Stay current with CMS guidelines, state regulations, and industry coding updates (ICD-10, CPT, HCPCS).
• Generate monthly reimbursement reports and provide actionable insights to leadership.
• Assist in training junior staff on reimbursement best practices and documentation standards.

Requirements

• Minimum 3 years of experience in healthcare reimbursement, medical billing, or claims adjudication.
• Strong knowledge of Medicare, Medicaid, and commercial payer reimbursement methodologies.
• Proficiency with billing software (e.g., Epic, Cerner, Meditech) and Microsoft Excel.
• Certified Professional Coder (CPC) or Certified Reimbursement Specialist (CRS) preferred.
• Excellent analytical skills, attention to detail, and ability to interpret complex contractual language.
• Effective communication skills for interacting with providers, payers, and internal teams.
• Self‑motivated, able to work independently in a remote environment while meeting deadlines.

Salary Range

Based on industry standards for remote reimbursement specialists in Texas, the expected compensation is $55,000 – $75,000 USD per year, commensurate with experience and certifications.

Benefits

• 100% remote work – no relocation required.
• Comprehensive health, dental, and vision insurance.
• 401(k) plan with company match.
• Generous paid time off and company holidays.
• Continuing education stipend for certifications and professional development.
• Wellness program including virtual fitness classes and mental health resources.
• Employee assistance program and flexible scheduling options.

Why Join Us?

Our mission is to streamline healthcare finance so providers can focus on what matters most—patient care. By joining our team, you’ll contribute to reducing claim denials, improving cash flow, and ensuring fair compensation for medical services. We foster a collaborative, inclusive culture where every specialist’s insights drive process improvements and innovation.

Ready to make a tangible impact on healthcare reimbursement while enjoying the freedom of remote work? This is your opportunity to grow your career with a forward‑thinking organization that values expertise, integrity, and work‑life balance.