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Insurance Reimbursement Jobs (NOW HIRING)

Insurance Verification Representative

$17.50 - $22.25/hr

Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes * Ability to analyze and correct accounts receivable problems * Maintains a high degree of ...

Reimbursement Specialist

San Antonio, TX

$17.25 - $24/hr

POSITION SUMMARY/RESPONSIBILITIES Identifies and enrolls indigent and under-insured patients into drug assistance reimbursement programs which provide drug replacement and reimbursement compensation.

Reimbursement Specialist

San Antonio, TX

$17.25 - $24/hr

POSITION SUMMARY/RESPONSIBILITIES Identifies and enrolls indigent and under-insured patients into drug assistance reimbursement programs which provide drug replacement and reimbursement compensation.

Reimbursement Specialist

San Antonio, TX

$17.25 - $24/hr

POSITION SUMMARY/RESPONSIBILITIES Identifies and enrolls indigent and under-insured patients into drug assistance reimbursement programs which provide drug replacement and reimbursement compensation.

Reimbursement Specialist

Franklin, TN · On-site

$20 - $23/hr

Communication with various insurance companies and payers to resolve billing and reimbursement discrepancies. * Reviews information provided by payers regarding the reimbursement for goods and ...

Reimbursement Specialist

Garnet Valley, PA · On-site

$18.50 - $25.25/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

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 ...

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!

Reimbursement Specialist

West Palm Beach, FL · On-site

$18.50 - $25.75/hr

In this role, the Reimbursement Specialist compiles, reviews, and processes billing and accounts receivable documents, insurance bills and payments, and prepares and maintains all accounts receivable ...

The Reimbursement Representative reviews insurance company requests for refunds and determines their validity and handles accordingly. Also, assists with posting adjustments submitted by other units.

Reimbursement Specialist

Sunrise, FL

$18 - $24.75/hr

... reimbursement. This is not a task-based billing position - the selected candidate will own a ... Ensure claim accuracy through detailed review and correction of demographic information, insurance ...

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Showing results 1-20

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
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 Verification Representative

Insurance Verification Representative

CCS

Remote

$17.50 - $22.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 21 days ago


Job description

Overview
Are you looking for a purposeful career that will make a difference in the patient community? At CCS, our approach to at-home patient care is redefining chronic care management. We are seeking individuals that will thrive in a patient-centric dynamic environment. If you are an attentive listener, fast-thinker, and problem-solver, with the ability to relate to different people, you are a match for CCS.
As a Verification Representative, you'll be at the heart of our operations as you deliver first-class customer service in every interaction in our call center. You will be responsible for qualifying patients' insurance coverage and ensures patient orders are accurate and complete prior to shipment claim. The verification representative will verify coverage for governmental, commercial insurance companies and patient accounts. You'll be the one of our subject matter experts that will help us solve our patient's challenges-and deliver on our promise of superior customer service.
Alaska, California, Colorado, Delaware, Hawaii, Idaho, Maine, Montana, Nevada, New Hampshire, New York, North Dakota, Rhode Island, South Dakota, Vermont, Washington, Wyoming , Illinois; residents are not eligible.
Responsibilities
  • Makes outbound calls to insurance companies to verify insurance benefits
  • Evaluates insurance coverage in order to determine the policy's compatibility with our program and recommends the appropriate products based on the patient's needs and insurance coverage
  • Efficiently and accurately verifies, reviews, documents and completes insurance verifications
  • Identifies and initiates documentation needs and requests to permit timely billing of services and communication with appropriate team(s)
  • Reviews patient accounts and determines appropriate action(s) needed to collect payment
  • Reviews claims and performs claim corrections and submissions to new carrier based on new plan verification
  • Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes
  • Ability to analyze and correct accounts receivable problems
  • Maintains a high degree of confidentiality always due to access to sensitive information
  • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
  • Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements

Qualifications
  • High School diploma
  • One-year medical insurance verification related experience or equivalent combination of education and experience
  • One year of customer service experience required
  • Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes
  • Ability to analyze and correct accounts receivable problems
  • Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy
  • Knowledge of government and commercial insurance payers as it relates to documentation of claims that are required before submission
  • Ability to understand Medical Records documents
  • Position may require evening and weekend availability

Values
Certainty-The lives of the individuals we serve depend on our ability to execute. We commit to doing this every day.
  • Use appropriate methods and a flexible interpersonal style to help build a cohesive and collaborative team based on a foundation of trust and transparency. Deliver what you commit to.

Compassion-We understand the burdens of patients and their loved ones and channel this into a relentless pursuit of customer satisfaction in every part of our business.
  • Ensure that the patient is the driving force behind business decisions, implementing service practices that meet needs of both the patient and the organization. Treat others the way you want to be treated.

Advancement-We are endlessly looking for ways to progress and become more innovative in all things we do.
  • Encourage innovative approaches for addressing opportunities and facilitating change, driving cross-functional alignment to accomplish goals. Speak the truth.

CCS Medical and EEOC/AA employer. M/F/D/V
Company Overview
CCS is the strategic partner addressing America's most pressing healthcare challenges through intelligent chronic care management, tackling the $412 billion annual diabetes burden and chronic conditions affecting over 133 million Americans. At the core of CCS's differentiated model is LivingConnected®, a human-led, digitally-enabled clinical solution. PropheSee™-an AI-powered predictive model that identifies non-adherence risk and delivers personalized interventions- is an integral part of this solution, creating a first-of-its-kind platform to improve adherence, enhance clinical outcomes, and help prevent costly hospitalizations. By combining data-driven insights with three decades of industry relationships, CCS is the smart choice for health plans, providers, employers, and manufacturers who believe that value-based care starts by keeping patients healthy and delivers benefits like lower cost of care, improved HEDIS scores, and alleviating provider burnout. CCS's approach extends clinical reach while supporting over 200,000 people nationwide with home-delivered medical supplies and pharmaceuticals annually. Recognized as a Great Place to Work®, and with numerous peer-reviewed publications validating our care management approach, CCS is more than a trusted supplier-we're a partner in transforming chronic care delivery. To learn more about how CCS is addressing today's healthcare challenges, visit ccsmed.com or connect with us on LinkedIn.
What We Offer
  • Competitive Salary
  • Bonus/Incentive Opportunities/commission: (if applicable)
  • Comprehensive Benefits:
    • Medical, dental, and vision insurance
    • 401(k) with company match
    • Paid time off (vacation and holidays)
  • Growth & Development:
    • Ongoing training and professional development
  • Work-Life Balance:
    • Remote or hybrid work options (if applicable)
    • Wellness programs and mental health support