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Insurance Reimbursement Jobs (NOW HIRING)

Boice-Willis Clinic

Reimbursement Specialist

Rocky Mount, NC · On-site

$17.75 - $24.25/hr

Review and validate adjustments to accounts in the insurance portfolio based on insurance reimbursement, coverage, contracts, and services provided. * Review charges to ensure we are filing to ...

New

RemX

Be Seen First

Medical Reimbursement Representatives (Remote) - $19/hr

Irving, TX · Remote

$19/hr

We are currently hiring for Remote Medical Reimbursement Representatives to join a growing health ... Communicate with providers, insurance companies, pharmacies, and patients to resolve claim ...

Summit Dental

Insurance AR Coordinator

Turlock, CA · On-site

$24 - $26/hr

This role is ideal for a motivated professional who enjoys working behind the scenes to ensure accurate insurance reimbursement, maintain organized financial records, and support the overall success ...

New

Tyrer Dental Care

Dental Insurance Coordinator

Jonesboro, AR · On-site

$15.75 - $20/hr

This role ensures accurate billing, maximizes insurance reimbursement, and provides clear financial communication to patients to support a positive practice experience. KEY RESPONISIBILITIES ...

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Insurance Reimbursement information

See salary details

$45.5K

$94K

$123.5K

How much do insurance reimbursement jobs pay per year?

As of Sep 6, 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 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 are the key skills and qualifications needed to thrive as an insurance reimbursement specialist?

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 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.

How do reimbursements work for insurance?

In insurance reimbursement roles, reimbursements involve processing claims submitted by healthcare providers or policyholders to ensure they are paid accurately and promptly. This typically requires knowledge of insurance policies, coding, and billing systems, and may involve verifying coverage, coding procedures, and submitting claims through specialized software. Reimbursement professionals ensure compliance with regulations and resolve claim discrepancies to facilitate timely payments.
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 August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $93,959 per year, or $45.2 per hour.

Insurance Reimbursement Specialist

Aspira Labs, Inc.

Shelton, CT • On-site

$19.25 - $26.50/hr

Full-time

Re-posted 8 days ago

Key responsibilities

  • Process medical reimbursements by reviewing claims, submitting appeals, and gathering supporting documentation.

  • Interact with insurance providers, payors, and patients to communicate claim status, request information, and provide customer service.

  • Follow up on claim denials, appeals, and payment issues, including submitting documentation and updating records.

Job description

Job Title:             Insurance Reimbursement Specialist

Department:         Billing

Reports To:         Revenue Cycle Manager

Location:             Shelton, CT

Terms:                  Full-time 

FLSA Status:       Exempt

POSITION SUMMARY

As an Insurance Reimbursement Specialist, you will work with insurance and billing companies to process medical reimbursements for patients. Your primary duties include claim review, appeal generation, interacting with patients, communicating with insurance providers, assist with retrieving EOBs, and other duties as assigned. To be successful in this role, you need strong analytical, communication, and organizational skills.

ESSENTIAL FUNCTIONS

  • Responsible for submission of appeals to national payers
  • Provide review of all levels of an insurance appeal
  • Gather supporting documentations (physician medical records, patient /physician letters etc.)
  • Work incoming correspondence from payors to assist with claim appeal
  • Interact with utilization review/management departments
  • Assist with gathering EOB’s if cash poster is unable to locate
  • Provide excellent customer service via the handling of inbound and outbound calls/emails to patients and providers
  • Data Entry
  • Assist with Error Processing when business volume dictates the need

PERFORMANCE MEASURES

  • Review claim denials within 1 week of posting to determine next step for accession
  • Submit request to provider for necessary documentation for appeal- follow up on requests within 2 weeks if not received.
  • Submit accessions for adjustments per Patient Transparency Program guidelines and document accession to reflect need for adjustment accurately
  • Follow up with plans when trends of nonpayment or incorrect payment is received per contracts
  • Utilize portals/fax/USPS to submit appeals for claim review when necessary.  USPS should be last resort if portal/Fax unavailable
  • Provide payor status updates when issues arise to leadership 
  • Review Sfax for documentation relating to payor groups daily
  • Review correspondence at the time of working denials to verify if we received essential information for the claim.
  • Provide response to patient and client emails/voicemails within 24 business hours of receipt and document account appropriately 
  • Adherence to schedule
  • Productivity based on accuracy and quality
  • Maintain a positive, achievement-oriented attitude and influence others to do the same
  • Demonstrate high ethical standards and personal integrity
  • Display a commitment to personal growth

MINIMUM QUALIFICATIONS

  • College degree preferred or equivalent but will substitute for applicable work experience
  • Minimum two (2) years’ experience in healthcare accounts receivable environment; knowledge of medical terminology, billing, and coding a plus
  • Demonstrate proficiency in Microsoft Word and Excel
  • Adhere to Medicare, Medicaid Compliance and HIPAA guidelines in relation to PHI information

KNOWLEDGE, SKILLS, AND ABILITIES

  • Exceptional analytical and organizational skills
  • Ability to work independently, a team player with strong interpersonal skills to effectively interact with all levels of employees
  • Superior time management and critical thinking skills
  • Ability to work under pressure and achieve goals efficiently
  • Strong written and verbal communication skills
  • Dependable, flexible, and adaptable in all aspects of work  

SUPERVISORY RESPONSIBILITES

  • No direct supervisory responsibilities