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Insurance Reimbursement Jobs (NOW HIRING)

CareDx, Inc.

Reimbursement Specialist

Brisbane, CA · Remote

$23.25 - $32/hr

The primary responsibility of the Insurance Reimbursement Specialist is to maximize reimbursement by collecting outstanding balances from insurance companies. The Specialist will maximize collections ...

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Insurance Reimbursement information

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$45.5K

$94K

$123.5K

How much do insurance reimbursement jobs pay per year?

As of May 29, 2026, the average yearly pay for insurance reimbursement in the United States is $93,959.00, according to ZipRecruiter salary data. Most workers in this role earn between $79,000.00 and $108,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Insurance Reimbursement Specialist, and why are they important?

To thrive as an Insurance Reimbursement Specialist, you need a solid understanding of medical billing, coding (such as ICD-10, CPT), and insurance industry regulations, often supported by a relevant associate's degree or certification. Familiarity with claims management software, electronic health records (EHR) systems, and payer portals is typically required. Strong attention to detail, problem-solving abilities, and effective communication skills help in resolving claim discrepancies and working with patients and insurers. These competencies are vital for ensuring accurate and timely reimbursement, minimizing claim denials, and maintaining the financial health of healthcare organizations.

What are some common challenges faced by professionals in insurance reimbursement roles, and how can they be addressed?

Professionals in insurance reimbursement often encounter challenges such as navigating complex billing codes, staying updated with frequent changes in insurance policies, and managing claim denials or delays. To address these, it's important to have a strong understanding of medical coding systems (like ICD-10 and CPT), regularly attend training on policy updates, and develop effective communication skills to collaborate with both clinical staff and insurance representatives. Proactively following up on denied claims and maintaining detailed documentation can also help ensure timely and accurate reimbursement.

What is insurance reimbursement?

Insurance reimbursement refers to the process by which healthcare providers or policyholders receive payment from an insurance company for covered services or expenses. After a medical service is provided, a claim is submitted to the insurer detailing the costs and services rendered. The insurance company then reviews the claim and reimburses either the provider directly or the insured individual, depending on the policy. This process ensures that individuals are not burdened with the full cost of healthcare, as long as the services are covered under their insurance plan.

What is the difference between Insurance Reimbursement vs Medical Billing Specialist?

AspectInsurance ReimbursementMedical Billing Specialist
Required CredentialsKnowledge of insurance policies, coding, and billing proceduresCertification in medical billing/coding often preferred
Work EnvironmentHealthcare providers, insurance companies, billing departmentsMedical offices, hospitals, billing companies
Employer & Industry UsageInsurance companies, healthcare providersHealthcare facilities, billing services
Common Search & Comparison IntentUnderstanding reimbursement processes, claims managementHandling billing, coding, and claims submission

Insurance Reimbursement involves managing the process of insurers paying healthcare providers for services rendered, focusing on claims processing and payment recovery. Medical Billing Specialists handle the creation and submission of billing claims to insurance companies, ensuring accurate coding and documentation. While both roles require knowledge of insurance policies and coding, Insurance Reimbursement emphasizes payment recovery, whereas Medical Billing Specialists focus on claim submission and record accuracy.

More about Insurance Reimbursement jobs
What job categories do people searching Insurance Reimbursement jobs look for? The top searched job categories for Insurance Reimbursement jobs are:
Insurance Reimbursement jobs near you
Infographic showing various Insurance Reimbursement job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 89% Full Time, 7% Part Time, and 3% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $93,959 per year, or $45.2 per hour.

Insurance Reimbursement Specialist

CBS Medical Billing & Consulting LLC

Exeter, NH • Remote

Full-time

Posted 15 days ago

Job description

Salary: $18.00 - $26.00 per hour

Are you a financial problem-solver who loves cracking insurance puzzles? Do you thrive on ensuring claims are paid correctly, resolving denials, and keeping revenue flowing smoothly?


Were looking for an experienced
Insurance Reimbursement Specialist to join our team someone who brings tenacity, accuracy, and a solution-focused mindset to the revenue cycle. If you have experience in orthotic and prosthetic (O&P) insurance billing, follow-up, and denial management, youll feel right at home.


In this role, youll be the key player in ensuring claims are reimbursed accurately and on time, spotting payer trends, and helping clients maximize revenue all while providing critical support for patients accessing O&P care.


What You'll Do

Insurance Follow-Up and Denial Management

  • Work all aging accounts (30+ days) for assigned clients using payer calls, online portals, and claim status tools
  • Investigate and resolve denials, underpayments, payment delays, and requests for additional documentation
  • Execute reimbursement and denial management procedures according to client contracts and internal protocols
  • Identify accounts over 90 days and escalate for strategic review

Trend Analysis and Communication

  • Spot recurring denial patterns, payer trends, and potential compliance risks
  • Share insights and tips with the Client Success Manager to improve billing performance
  • Collaborate with internal teams to proactively reduce denials

Documentation and Software Use

  • Accurately document all follow-up actions across multiple billing platforms
  • Maintain proficiency in client-specific billing software and payer portals
  • Keep detailed, audit-ready records of reimbursement activity


Our Ideal Candidate

  • Experience in
    insurance reimbursement, AR follow-up, or denial management (O&P experience preferred)
  • Solid understanding of payer requirements and the medical billing lifecycle
  • Strong attention to detail, organization, and time-management skills
  • Confidence navigating multiple billing platforms and payer portals
  • Persistent, curious, and solution-oriented mindset
  • Excellent communication and collaboration skills


If youre ready to bring your insurance reimbursement skills to a team that values precision, impact, and collaboration, we want to hear from you.


Please Note: We are not working with staffing agencies or third-party recruiters. Direct applicants only.