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Insurance Reimbursement Jobs (NOW HIRING)

LUX Infusion

Reimbursement Specialist

Garnet Valley, PA

$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

Hendrick Health

Reimbursement Rep

Abilene, TX · On-site

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.

MMC Group

Reimbursement Counselor

San Bruno, CA · On-site

$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 ...

Serva Health LLC

Reimbursement Specialist

Wilmington, DE · On-site

$60K - $90K/yr

We are seeking a Reimbursement Specialist to add to grow expand our Patient Access Services (Hub ... Determining insurance coverages, out of pockets and co-pays on behalf of patients * Facilitating ...

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!

Empath Health

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 ...

RCIL

Reimbursement Specialist

Utica, NY · On-site

$36K/yr

Heavily subsidized Health Insurance with co-pays. * Vision and Dental insurance. * Flexible ... Review incoming SD reimbursement to ensure OPWDD regulatory compliance * Maintain an updated ...

Hendrick Health

Reimbursement Rep

Abilene, TX · On-site

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.

Advanced Rx Management

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 ...

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

LUX Infusion

Reimbursement Specialist

Overland Park, KS · Hybrid

$19 - $26.25/hr

Create a smoother, clearer experience for patients navigating insurance * Support providers and internal teams through reliable reimbursement processes * Strengthen trust in LUX Infusion as a ...

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!

Medix

Reimbursement Specialist

Kalamazoo, MI · On-site

$17.50 - $19/hr

Job Summary Our client is seeking a Reimbursement Specialist responsible for managing patient ... Verify patient insurance eligibility and process medical codes accurately. * Manage account ...

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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.

Reimbursement Analyst

UPMC Senior Communities

Pittsburgh, PA • On-site

$21.14 - $35.13/hr

Full-time

Posted 20 days ago

Job description

Purpose:
The UPMC Health Plan is seeking a Reimbursement Analyst to fill an opening in our Hospital Reimbursement department. This role offers a flexible work arrangement and is required to be in office in downtown Pittsburgh 3 days per week; however; the remaining days can be worked remotely.
The Reimbursement Analyst is a middle level analytical position responsible for all aspects of provider reimbursement. This includes establishing and maintaining compensation rates for hospitals, physicians, and ancillary services. Knowledge of fee schedules, case rates, per-diems, PDPM, as well as any other reimbursement methodology is required.
This role is Hybrid and will require 3 days onsite in Downtown Pittsburgh
Responsibilities:
  • Work with Reimbursement Specialist in developing / negotiating reimbursement rates for new providers. Including accurate, easy to understand analysis of the negotiated rates.
  • Monitor and review new pricing configuration to assure the provider is pricing accurately as contracted. This includes maintaining documentation of your review.
  • Resolve reimbursement issues.
  • Update and maintain hospital reimbursement rate summary
  • Act as company expert on all reimbursement issues.
  • Complete special projects accurately and timely.
  • Out of network negotiations when required.
  • Monitor Calendar to assure all action items are completed proactively.
  • Update and maintain hospital reimbursement reports for all product lines. Reports include inpatient base rate comparisons, outpatient reimbursement comparisons to UPMC OP fee schedule, Observation cost per case.
  • Resolve problems that result in claims pending.
  • Work with configuration staff when negotiating to assure negotiated rates are operational.
  • Analyze and compare fee schedules.
  • Attend meetings when required.
  • Analyze all reimbursement, including outliers, transfer adjustments, etc.

Qualifications:
  • Bachelor's Degree in health care administration, business and/or other related discipline (Related experience in a health care administration setting may be substituted for educational requirements).
  • Excellent planning, communication, documentation, organizational, analytical, and problem-solving abilities.
  • Advanced mathematical skills.
  • Ability to interpret and summarize results of various analysis in a timely and meaningful way.
  • Strong computer skills, including expert knowledge of Access and Excel.
  • Experience with a physician practice, hospital, ancillary provider, health insurance company or integrated delivery system is preferred.
  • Preferred individual needs to have in depth understanding of managed care delivery systems and have had direct experience with reimbursement.
  • Knowledge of ICD-10CM, CPT4, Revenue Codes, DRGs, base rates, Medicare methodologies, Medicaid methodologies, HCPCS coding and related governmental guidelines and provider reimbursement methodologies preferred.
  • Ability to work cooperatively with multidisciplinary teams and/or independently.
  • Ability to re-engineer processes to positively impact productivity in terms of timeliness and accuracy.
    UPMC is an Equal Opportunity Employer/Disability/Veteran

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