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Insurance Reimbursement Jobs (NOW HIRING)

MMC Group

Reimbursement Counselor

San Bruno, CA

$19.50/hr

Reimbursement Coordinator San Bruno, CA $19.50/HR Hours: 7:00 AM - 4:00 PM Monday - Friday POSITION ... Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP ...

Ottobock

Reimbursement Manager

Austin, TX · Remote

$90K/yr

The reimbursement consultant will manage the special process developed for high-tech products to ... Ability to review health insurance forms and provider encounter forms to troubleshoot billing ...

LUX Infusion

Reimbursement Specialist

Garnet Valley, PA · On-site

$23 - $27/hr

We're looking for a Reimbursement Specialist who wants their work to mean something - someone who ... Verify insurance eligibility, authorizations, and documentation prior to medication delivery

CoxHealth

Reimbursement Analyst

Springfield, MO · On-site

Demonstrated experience with healthcare or insurance financial analysis. Skills â–ª Strong ... of provider reimbursement. â–ª Highly productive in a self-directed manner with ability to ...

Memorial Health

REIMBURSEMENT SPECIALIST

Springfield, IL · On-site

$17.14 - $26.56/hr

Two or more years of insurance and/or health care billing experience is required. Previous ... Assists with training of new Reimbursement and Customer Service staff. * Performs both Collections ...

Memorial Health

REIMBURSEMENT SPECIALIST

Springfield, IL · On-site

$17.14 - $26.56/hr

Our Reimbursement Specialist creates and processes claims/invoices associated with patient care ... Two or more years of insurance and/or health care billing experience is required. Previous ...

Baxter

Spec, Reimbursement

Daphne, AL

$44K - $61K/yr

As the Reimbursement Specialist you will communicate directly with patients, healthcare teams, and insurance companies as well as collaborating cross-functionally with teams to coordinate in our ...

Lux Infusion

Reimbursement Specialist

Garnet Valley, PA · On-site

$23 - $27/hr

We're looking for a Reimbursement Specialist who wants their work to mean something - someone who ... Verify insurance eligibility, authorizations, and documentation prior to medication delivery

CareDx, Inc.

Reimbursement Specialist

Brisbane, CA · On-site

$23.25 - $32/hr

We provide Medical, Dental, Vision and Life Insurance, Flexible Spending and Dependent Care ... reimbursement, yoga onsite, ping pong, foosball, BBQ's, social hours, and more!

Numotion

Reimbursement Specialist

$19.75 - $27/hr

The Reimbursement Specialist will work to achieve cost effective accounts receivables performance ... insurance, short-term and long-term disability, a 401k, and life insurance. Numotion is an equal ...

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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 Aug 17, 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, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $93,959 per year, or $45.2 per hour.

Reimbursement Counselor

MMC Group

San Bruno, CA

$19.50/hr

Full-time

Re-posted 29 days ago

Job description


Reimbursement Coordinator

San Bruno, CA

$19.50/HR

Hours: 7:00 AM - 4:00 PM Monday - Friday


POSITION SUMMARY:


Under the general supervision of the Reimbursement Supervisor / Manager, is responsible for various reimbursement functions, including but not limited to accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved.


PRIMARY DUTIES AND RESPONSIBILITIES:


  1. Completing/Conducting Benefit Investigations

  2. Completing Prior Authorizations and determining best approach for a PA process

  3. Transferring Cases to Specialty Pharmacies

  4. Follow-up Calls to Insurances

  5. Conducting Alternative Coverage searches

  6. Creating letters of medical necessity

  7. Drafting appeal letters

  8. Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program

  9. Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications

  10. Completes and submits all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payors. Researches and resolves any electronic claim denials

  11. Researches and resolves any claim denials or underpayment of claims

  12. Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods

  13. Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly

  14. Maintains frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers

  15. Reports any reimbursement trends/delays to supervisor (e.g. billing denials, claim denials, pricing errors, payments, etc.)

  16. Processes any necessary insurance/patient correspondence

  17. Provides all necessary documentation required to expedite payments. This includes demographic, authorization/referrals, National Provider Identification (NPI) number, and referring physicians

  18. Coordinates with inter-departmental associates to obtain appropriate medical records as they relate to the reimbursement process

  19. Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation

  20. Communicates effectively to payors and/or claims clearinghouse to ensure accurate and timely electronically filed claims

  21. Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action

  22. Typically receives little instruction on day-to-day work, general instructions on new assignments

  23. Performs related duties as assigned


MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:


  1. Must have recently experience with Health Insurance

  2. Ability to communicate effectively both orally and in writing

  3. Ability to build productive internal/external working relationships

  4. Strong interpersonal skills

  5. Strong negotiating skills

  6. Strong mathematical skills

  7. Strong organizational skills; attention to detail

  8. General knowledge of accounting principles, pharmacy operations, and medical claims

  9. General knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding preferred

  10. Global understanding of commercial and government payers preferred

  11. Ability to proficiently use Microsoft Excel, Outlook and Word

  12. Is developing professional expertise; applies company policies and procedures to resolve a variety of issues