Remote Healthcare Reimbursement Specialist – Work‑From‑Home – Join a Growing Team!

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Are you a detail‑oriented reimbursement pro looking for a fully remote role that lets you balance life and career? Our client, a leading tele‑health provider, is expanding its billing & reimbursement department and needs a skilled specialist to ensure providers are paid accurately and on time.

Salary Range

$48,000 – $68,000 USD per year (based on experience, certifications, and regional cost‑of‑living adjustments). Bonuses and performance incentives are also part of the total compensation package.

About the Role

As a Remote Healthcare Reimbursement Specialist, you will be the bridge between clinical teams, insurance carriers, and patients. Your primary mission is to verify coverage, submit clean claims, follow up on denials, and ensure maximum reimbursement for services rendered—all from the comfort of your home office.

Key Responsibilities

• Review patient eligibility and benefits across multiple payers.
• Prepare, submit, and track electronic claims using industry‑standard software (e.g., Epic, Athena, Availity).
• Investigate and resolve claim denials, rejections, and underpayments within established SLA timelines.
• Collaborate with clinical staff to ensure accurate coding (ICD‑10, CPT, HCPCS) and documentation.
• Maintain detailed audit trails and generate weekly reimbursement reports for leadership.
• Stay up‑to‑date on payer policy changes, Medicare/Medicaid regulations, and emerging tele‑health billing guidelines.

Requirements

• Associate’s or Bachelor’s degree in Health Administration, Business, or related field (or equivalent experience).
• Minimum 2 years of experience in medical billing, claims processing, or reimbursement within a U.S. healthcare setting.
• Strong knowledge of CPT, ICD‑10, HCPCS, and payer-specific guidelines.
• Proficiency with electronic health record (EHR) and practice management systems; familiarity with clearinghouses is a plus.
• Excellent analytical, communication, and problem‑solving skills.
• Self‑motivated remote‑work ethic with reliable high‑speed internet and a dedicated workspace.
• Certification such as Certified Professional Biller (CPB) or Certified Coding Specialist (CCS) is preferred but not required.

Benefits & Perks

• 100% remote—work from anywhere in the United States.
• Flexible schedule with core hours 9 am–3 pm EST to accommodate personal commitments.
• Comprehensive health, dental, and vision insurance.
• 401(k) plan with company match.
• Paid time off, sick days, and holidays.
• Professional development stipend for certifications, webinars, or conferences.
• Monthly virtual team events, wellness programs, and an employee assistance program.

Why This Role Stands Out

Remote healthcare reimbursement is at the forefront of the tele‑health revolution. By joining this dynamic team, you’ll gain exposure to cutting‑edge virtual care models while honing expertise that’s in high demand across the industry. The role offers a clear career path toward senior reimbursement management, training leadership, or specialized compliance positions.

How to Succeed in This Position

• Prioritize accuracy—every claim error can delay payment.
• Maintain proactive communication with payers; a quick phone call can resolve a denial faster than endless emails.
• Leverage data—regularly review reimbursement trends to identify systematic issues.
• Stay organized—use task‑management tools and set reminders for follow‑up deadlines.
• Embrace continuous learning—payer policies evolve quickly, especially for tele‑health services.

Next Steps

If you’re ready to make a tangible impact on provider revenue while enjoying the freedom of a remote career, this opportunity is designed for you. Prepare a tailored resume highlighting your billing achievements, a brief cover letter outlining why remote work fuels your productivity, and be ready to discuss your most challenging claim resolution story during the interview.

Equal Opportunity Employer

We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, genetics, disability, age, or veteran status.

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