Role: Healthcare Reimbursement Specialist
Location: Remote
Employment Type: Full-time
Compensation: Competitive salary commensurate with experience, qualifications, and location. Indicative range: $55,000 – $85,000 (USD equivalent), plus benefits.
Role Overview
We are hiring a Healthcare Reimbursement Specialist to manage claims, denials, and payer relationships across the revenue cycle. The role combines coding fluency with payer expertise — making sure providers get paid accurately and on time.
Key Responsibilities
- Submit claims to payers and follow up through adjudication
- Investigate and appeal denied claims with strong supporting documentation
- Verify insurance eligibility, coverage, and prior authorisation requirements
- Maintain accurate billing data and reconcile payer remittance advice
- Stay current on coding (CPT, ICD-10, HCPCS) and payer policy changes
- Partner with providers and clinical staff on documentation improvements
Required Skills and Qualifications
- 3+ years in medical billing, coding, or revenue cycle operations
- Strong working knowledge of CPT, ICD-10, and HCPCS coding
- Familiarity with EHR and practice management systems (Epic, Athena, Kareo, AdvancedMD)
- Experience with payer portals and clearinghouse workflows
- Excellent attention to detail and documentation discipline
- Coding certification (CPC, CCS, CRC) is a plus
What You'll Bring
- Genuine commitment to patient outcomes and care quality
- Clear written and verbal communication across clinical and non-clinical teams
- Strong attention to compliance, documentation, and confidentiality
- Comfort working asynchronously across time zones
What We Offer
- Fully remote, flexible work hours
- Performance-based bonus structure
- Annual learning & development stipend
- Health and wellness benefits (varies by location)
- Opportunity to work on high-scale, real-world impact projects
Equal Opportunity Statement
This is an equal opportunity role. Applications are welcomed from all qualified individuals regardless of race, color, ethnicity, nationality, gender, gender identity or expression, sexual orientation, age, religion, disability, marital status, or any other characteristic protected by applicable law. All hiring decisions are based solely on qualifications, skills, and demonstrated ability.