Remote Healthcare Reimbursement Specialist — Work From Home Across the United States

Take your medical billing expertise to a fully remote opportunity focused on clean claims, accurate reimbursement, and faster payments for healthcare providers. This work-from-home medical billing specialist role offers meaningful problem-solving, flexible independence, and the chance to support patients and providers without office attendance.

Salary Range

Estimated annual salary: $48,000–$68,000 USD, depending on experience, certifications, payer complexity, and eligible U.S. location. This estimate reflects current industry standards for remote healthcare reimbursement and medical claims roles. A fully remote position, the role is designed for eligible residents working from home.

About the Role

As a Healthcare Reimbursement Specialist, you will manage the financial side of patient care by reviewing claims, resolving payment issues, and ensuring providers receive accurate reimbursement. You will collaborate with internal teams, healthcare facilities, and insurance companies to identify errors, investigate denials, and improve the overall claim lifecycle.

Key Responsibilities

• Review medical claims for completeness, accuracy, and compliance with payer requirements.
• Investigate denied, rejected, or underpaid claims and prepare appropriate corrections or appeals.
• Verify patient eligibility, insurance coverage, benefits, and claim status.
• Post payments, identify adjustments, and reconcile accounts against remittance advice.
• Communicate professionally with providers, payers, and internal stakeholders to resolve billing issues.
• Maintain detailed documentation and protect confidential health information in accordance with HIPAA.

Requirements

• At least two years of experience in medical billing, revenue cycle management, insurance claims, or healthcare reimbursement.
• Working knowledge of CPT, ICD-10, HCPCS, EOBs, remittance advice, and claim-edit rules.
• Experience with electronic health record systems, practice management software, or payer portals.
• Strong attention to detail, analytical thinking, and ability to manage competing priorities.
• Excellent written and verbal communication skills, with reliable internet and a suitable home office.
• CPC, CRC, CMA, or equivalent certification is preferred but not always required.

What Success Looks Like

Success in this remote medical billing job means reducing claim denials, shortening reimbursement timelines, and delivering accurate, timely support. You will be valued for your ownership, clear communication, and ability to turn complex insurance issues into practical solutions.

Benefits and Work Setup

• 100% Remote: Work from home with no regular office presence or commuting.
• Competitive Compensation: Estimated annual pay of $48,000–$68,000 USD.
• Health Benefits: Medical, dental, and vision coverage may be available.
• Time Off: Paid time off, holidays, and additional leave options.
• Financial Security: Retirement plan access and predictable full-time hours.
• Professional Growth: Training, career advancement, and certification support.

This full-time position requires approximately 40 hours per week and scheduling aligned with U.S. time zones. If you are organized, detail-oriented, and passionate about improving healthcare reimbursement, this remote opportunity is an excellent next step for your career.