Remote Healthcare Reimbursement Specialist – Remote Job for residents of United States – Competitive Salary & Remote Work

Join a dynamic healthcare organization as a Remote Healthcare Reimbursement Specialist, where you’ll manage claim submissions, resolve payer inquiries, and ensure timely reimbursement for providers. This fully remote role offers flexible hours, competitive compensation, and the chance to impact the financial health of medical practices nationwide.

Salary Range: $48,000 – $70,000 USD per year

About the Role

The Healthcare Reimbursement Specialist is responsible for the end‑to‑end processing of insurance claims, coordinating with coding and billing teams, and maintaining compliance with federal and state regulations. Working remotely, you will utilize advanced revenue cycle management software to track claim status, appeal denials, and generate detailed reports for financial oversight. The position requires close collaboration with physicians, nurses, and administrative staff to capture accurate diagnosis and procedure codes, ensuring that claims are submitted correctly the first time.

Key Responsibilities

• Prepare, submit, and follow up on medical claims to insurance payers.
• Analyze claim denials, develop and execute appeal strategies, and track resolution timelines.
• Reconcile patient billing statements with insurance payments, identifying and correcting discrepancies.
• Maintain up‑to‑date knowledge of payer policies, coding updates (ICD‑10, CPT, HCPCS), and regulatory changes.
• Generate weekly and monthly reimbursement performance reports for leadership review.
• Provide training and support to internal teams on claim submission best practices.

Requirements

Education & Experience

A minimum of two years of experience in medical billing, coding, or revenue cycle management is required. An associate’s degree in health information management, medical billing, or a related field is preferred. Professional certifications such as Certified Professional Coder (CPC) or Certified Reimbursement Specialist (CRS) are highly valued.

Technical Skills

Proficiency with electronic health record (EHR) systems, claim adjudication software (e.g., Epic, Meditech, or similar), and Microsoft Excel for data analysis is essential. Strong written communication skills and the ability to navigate multiple payer portals efficiently are also necessary.

Benefits

Work Perks

• 100% remote work environment with no commuting required.
• Flexible scheduling that allows for work‑life balance.
• Competitive salary complemented by performance‑based bonuses.
• Comprehensive health, dental, and vision insurance plans.
• 401(k) plan with employer matching contributions.
• Paid time off, holidays, and continuous professional development opportunities.

Professional Growth

Employees benefit from regular mentorship, access to industry webinars, and reimbursement for certification exams. The organization encourages cross‑functional projects that expand skill sets into analytics, compliance, and patient financial counseling.

Why Join Us?

Our fully remote team is comprised of dedicated professionals who prioritize accuracy, compliance, and patient satisfaction. By joining us, you will work with a supportive leadership team, benefit from state‑of‑the‑art technology, and contribute to the financial vitality of healthcare providers across the country. If you thrive in a fast‑paced, detail‑oriented environment and are eager to advance your career in revenue cycle management, this Remote Healthcare Reimbursement Specialist position is the ideal next step.