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Insurance Reimbursement Jobs (NOW HIRING)

Aylo Health

Insurance Reimbursement Specialist

Atlanta, GA · On-site

$18.50 - $25.50/hr

The Insurance Reimbursement Specialist will be responsible for document retrieval, analysis, claim processing, and reimbursement. ESSENTIAL FUNCTIONS: * Have a full understanding of a medical claim ...

CareDx, Inc.

Reimbursement Specialist

Brisbane, CA · On-site

$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 ...

Toledo Clinic

INSURANCE BILLER - FULL TIME

Toledo, OH · On-site

Verifies reimbursement according to specific fee schedules. * Enters adjustments according to ... insurance reimbursement procedures required. * Seeks appropriate tasks when primary tasks are ...

American Income Life Insurance Company

$90K - $120K/yr

Health Insurance Reimbursement Prioritize your well-being with health insurance reimbursement, helping ensure you're taken care of.Life Insurance Coverage Secure your future with comprehensive life ...

CareMetx LLC

Reimbursement Case Manager

Previous 3+ years of experience in a specialty pharmacy, medical insurance, reimbursement hub experience, physician's office, healthcare setting, and/or insurance background preferred * Bachelor ...

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All JobsInsurance Reimbursement Jobs

Insurance Reimbursement information

See salary details

$45.5K

$94K

$123.5K

How much do insurance reimbursement jobs pay per year?

As of Jul 7, 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 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 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 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 July 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 7 days ago

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