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Insurance Reimbursement Jobs (NOW HIRING)

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

Collabera

Reimbursement Counselor

Frisco, TX

Reimbursement Counselor Location: Frisco, TX 75034 Duration: 6 Months (May Extend / Possible ... Completes and submits all necessary insurance forms and electronic claims to process the claims in ...

Advanced Rx Management

Reimbursement Specialist

Sunrise, FL

$18.25 - $25.25/hr

... driven Reimbursement Specialist to support our expanding national client base. This role is ... Ensure claim accuracy through detailed review and correction of demographic information, insurance ...

CareDx, Inc.

Reimbursement Specialist

Brisbane, CA

$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!

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 ...

Anovorx Group LLC

Reimbursement Supervisor

Memphis, TN · On-site

... insurance companies, third party payors, patients and other customers for services provided. The Reimbursement Supervisor will provide guidance and direction to staff covering all aspects of billing ...

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!

Oso Home Care

Reimbursement Specialist

Irvine, CA · On-site

$25 - $31/hr

Must have a solid understanding of medical terminology and insurance laws/guidelines. Skills * Proficient in medical billing and CMS reimbursement guidelines * In-depth knowledge of insurance ...

Prompt Care Companies Inc

Reimbursement Specialist

$19.75 - $27/hr

The ideal candidate will have experience in infusion reimbursement and be able to work in a fast ... Working knowledge of insurance plans including Medicare and Medicaid required * Industry experience ...

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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 May 29, 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 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 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 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 May 2026, with employment types broken down into 1% As Needed, 89% Full Time, 7% Part Time, and 3% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $93,959 per year, or $45.2 per hour.
Reimbursement Specialist

Reimbursement Specialist

Advanced Rx Management

Fort Lauderdale, FL • On-site

$18.25 - $25.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Reimbursement Specialist

Advanced Rx Management, a rapidly growing pharmaceutical services company headquartered in Sunrise, Florida, is seeking a results-driven Reimbursement Specialist to support our expanding national client base.

This role is responsible for managing the full revenue cycle for Workers' Compensation and Personal Injury prescription claims, with direct accountability for reducing Accounts Receivable and driving timely, accurate reimbursement. This is not a task-based billing position the selected candidate will own a defined book of business and be responsible for resolving claims efficiently, minimizing AR aging, identifying denial trends, and improving overall cash flow performance.

The ideal candidate is analytical, detail-oriented, and proactive, with the ability to think critically through complex billing issues, identify root causes of denials or underpayments, and strategically move accounts toward resolution. We are seeking a team-oriented professional who values accuracy, accountability, and excellence in execution, and who contributes meaningfully to improved reimbursement outcomes in a fast-paced, growth-focused environment.

Key Responsibilities

  • Manage the full billing and collections lifecycle for a defined book of Workers' Compensation and Personal Injury prescription claims, with direct accountability for AR performance and aging metrics
  • Maintain and thoroughly work a minimum of 40+ patient accounts, ensuring consistent progress toward resolution
  • Review and prioritize aging reports daily to proactively reduce 60/90/120+ day AR and accelerate reimbursement
  • Analyze EOBs, notices of disallowance, state fee schedule variances, and payment discrepancies to identify root causes and independently execute the appropriate resolution strategy (corrected claim submission, appeal, adjuster outreach, escalation, or legal follow-up)
  • Track and resolve unpaid and underpaid claims to ensure accurate reimbursement in accordance with contractual terms and state fee schedules
  • Prepare and submit timely, comprehensive appeals with complete medical and billing documentation to support dispute resolution
  • Ensure claim accuracy through detailed review and correction of demographic information, insurance data, ICD-10 diagnoses, CPT coding, and billing modifiers as needed
  • Identify denial patterns and recurring payer issues; recommend and support process improvements to reduce repeat denials and strengthen revenue cycle performance
  • Maintain detailed, accurate account documentation to support compliance, reporting, and effective follow-up
  • Communicate professionally and persistently with insurance carriers, adjusters, attorneys, and internal clinical teams to drive timely account resolution
  • Meet or exceed defined KPIs related to:
    • AR reduction targets
    • Collection rate improvement
    • Appeal success rates
    • Productivity standards (accounts worked daily)
    • Quality and accuracy benchmarks
  • Support special projects and revenue cycle improvement initiatives aligned with company growth objectives

Qualifications

  • Minimum 2 years of medical billing and collections experience (preferred)
  • Workers' Compensation billing experience strongly preferred
  • Strong knowledge of EOB interpretation, understand ICD-10 coding, and denial management
  • Proven experience with appeals and insurance carrier follow-up
  • Strong analytical and problem-solving skills
  • High attention to detail and ability to manage multiple accounts simultaneously
  • Excellent written and verbal communication skills
  • Proficient in Microsoft Excel
  • Ability to work independently in a fast-paced, growth-oriented environment

Ideal Candidate Profile

The successful candidate will demonstrate:

  • Critical thinking beyond task execution
  • Ownership of account resolution
  • Persistence in follow-up and escalation
  • Ability to identify patterns and recommend process improvements
  • Professionalism in communication with payers and legal entities

Schedule:

Mon-Fri 8:00am to 5:00pm On-site

1401 NW 136th Ave, Ste. 400, Sunrise, FL 33323.

Benefits :

  • 401(k)
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Referral program
  • Vision insurance

Experience:

  • billing medications/pharmacy-related services: 1 year (Preferred)
  • Workers' compensation billing and claims: 1 year (Preferred)

Ability to Commute:

  • Sunrise, FL 33323 (Required)

Work Location: In person

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