Remote Healthcare Reimbursement Specialist – United States Based – Secure a Competitive Salary Today

Are you a detail-oriented finance professional ready to transition into the growing healthcare industry without sacrificing work-life balance? This fully remote position allows you to manage critical insurance claims and reimbursement cycles from the comfort of your own home office. We are seeking a dedicated specialist to join our growing team and make a tangible impact on provider revenue cycles.

Salary Range

$45,000 – $65,000 USD/year (commensurate with experience, certifications, and performance).

About the Role

As a Healthcare Reimbursement Specialist, you will serve as the vital link between medical providers and insurance payers. Your primary focus will be ensuring that healthcare services rendered are accurately coded, billed, and reimbursed in a timely manner. This is not just a data entry role; it requires strategic thinking to identify denials, negotiate with carriers, and optimize cash flow for the organization. Working entirely remotely, you will collaborate with cross-functional teams across the United States to maintain high standards of financial integrity and patient satisfaction.

Key Responsibilities

• Reviewing and validating medical claims for accuracy before submission to insurance carriers.
• Investigating denied or rejected claims to identify root causes and implement corrective actions.
• Monitoring payment posting and resolving discrepancies between expected and received funds.
• Ensuring strict compliance with HIPAA regulations and evolving payer policies.
• Communicating professional correspondence to patients and providers regarding outstanding balances.

Qualifications and Requirements

• Minimum of two years of experience in medical billing, revenue cycle management, or reimbursement.
• Proficiency with common medical coding systems, including CPT, ICD-10, and HCPCS.
• Strong familiarity with electronic health records (EHR) and practice management software.
• Excellent written and verbal communication skills for interacting with external stakeholders.
• A dedicated, quiet home office environment with high-speed internet connectivity.

Benefits and Perks

We believe that supporting our team is essential to delivering the best outcomes for our clients. This role comes with a comprehensive benefits package designed to support your health and financial future. We prioritize flexibility and well-being so that every team member can perform at their best.

• 100% remote work flexibility with no required office attendance.
• Comprehensive health, dental, and vision insurance coverage.
• 401(k) retirement plan with employer matching contributions.
• Generous paid time off and paid holidays throughout the year.
• Professional development stipends for continuing education and certifications.

About Apex Health Solutions

Apex Health Solutions is a leading provider of administrative support for modern healthcare organizations. We are committed to reducing the administrative burden on medical professionals so they can focus on what matters most: patient care. Our culture values integrity, innovation, and work-life harmony, making it the ideal environment for remote professionals who want to grow their careers.

Next Steps

If you are ready to bring your expertise in reimbursement and billing to a company that values your contribution, we encourage you to submit your resume and cover letter through our official career portal. We review applications on a rolling basis and look forward to potentially welcoming you to our remote team.