AI Summary / Key Details
- Location: Remote
- How to apply: Click the Apply Now button on this page to submit your resume.
Recent Activity
We are seeking a detail-oriented Healthcare Reimbursement Specialist to manage insurance claims, optimize revenue cycles, and ensure accurate payment posting. This 100% remote role offers flexibility, competitive pay, and the chance to impact patient financial experiences from home.
About the Role
We are seeking a motivated Healthcare Reimbursement Specialist to join our fully remote billing department. In this work-from-home position, you will play a critical role in managing insurance claims, verifying patient eligibility, and ensuring timely reimbursement for medical services. You will collaborate with providers, payers, and internal teams to resolve denials and optimize the revenue cycle from the comfort of your home office.
Key Responsibilities
- Review and process healthcare reimbursement claims for accuracy and compliance.
- Verify insurance coverage and obtain prior authorizations when required.
- Post payments, adjustments, and denials to patient accounts promptly.
- Follow up on unpaid claims and appeal denied reimbursements with payers.
- Maintain confidential patient records in accordance with HIPAA regulations.
- Generate weekly and monthly reports on reimbursement status and aging accounts.
- Collaborate with clinical staff to resolve coding and documentation issues.
- Stay current on changes in insurance policies, Medicare, and Medicaid guidelines.
Requirements
- High school diploma or equivalent; Associate’s degree in Healthcare Administration, Medical Billing, or related field preferred.
- Minimum of 2 years of experience in healthcare reimbursement, medical billing, or revenue cycle management.
- Proficiency with electronic health record (EHR) and practice management software.
- Strong knowledge of CPT, ICD-10, and HCPCS coding guidelines.
- Excellent communication skills and the ability to work independently in a remote environment.
- Reliable high-speed internet and a dedicated home workspace.
- Detail-oriented with strong organizational and time-management abilities.
Preferred Qualifications
- Certification as a Certified Professional Biller (CPB) or Certified Reimbursement Specialist.
- Experience with Epic, Athenahealth, or similar billing platforms.
- Background in hospital or multi-specialty clinic reimbursement.
Salary Range
$52,000 – $78,000 USD/year, commensurate with experience and qualifications.
Benefits
- 100% remote work from home with flexible scheduling options.
- Comprehensive health, dental, and vision insurance.
- Paid time off and paid holidays.
- 401(k) retirement plan with employer matching.
- Ongoing professional development and training stipends.
- Supportive virtual team culture with regular check-ins.
Why Join Our Team?
As a Remote Healthcare Reimbursement Specialist, you will directly impact the financial health of our organization while enjoying the freedom of a work-from-home career. We value accuracy, initiative, and work-life balance, providing you with the tools and support needed to succeed in a growing telehealth-focused organization.