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Insurance Reimbursement Jobs (NOW HIRING)

Pediatric Associates

Reimbursement Specialist

Plantation, FL · On-site

$18.25 - $25.25/hr

Reimbursement Specialist is responsible for analyzing the billing process to determine ... Verifies insurance eligibility / PCP / patient benefits to reconcile denied claims. * Identifies ...

Baxter International, Inc.

Spec, Reimbursement

Daphne, AL · On-site

$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 ...

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 ...

LUX Infusion

Reimbursement Specialist

Overland Park, KS · Hybrid

$23 - $27/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 ...

MPOWERHealth

Reimbursement Specialist

Conshohocken, PA · On-site

$19 - $26/hr

Join MPOWERHealth as a Reimbursement Specialist - Where Your Skills Drive Healthcare Forward! Are ... Analyze EOBs and construct responses to insurance carriers based on claim adjudication. * Follow up ...

Coxhealth

Reimbursement Analyst

Springfield, MO

Benefits | CoxHealth The Senior Reimbursement Analyst is responsible for various functions and ... Demonstrated experience with healthcare or insurance financial analysis. Skills Strong ...

Pediatric Associates

Reimbursement Specialist

Plantation, FL · On-site

$18.25 - $25.25/hr

Reimbursement Specialist is responsible for analyzing the billing process to determine ... Verifies insurance eligibility / PCP / patient benefits to reconcile denied claims. * Identifies ...

MPOWERHealth

Reimbursement Specialist

San Antonio, TX · On-site

$17.25 - $23.75/hr

Analyze EOBs and construct responses to insurance carriers based on claim adjudication. * Follow up ... as a Reimbursement Specialist - Where Your Skills Drive Healthcare Forward! Are you a natural ...

BMR Partners Inc

Reimbursement Specialist

Orange, CA · On-site

$26 - $30/hr

Knowledge of insurance and specialized functions of billing and reimbursement, required. * Must possess excellent oral and written communication skills, with the ability to express technical issues ...

Pediatric Associates

Reimbursement Specialist

Plantation, FL · On-site

$18.25 - $25.25/hr

Reimbursement Specialist is responsible for analyzing the billing process to determine ... Verifies insurance eligibility / PCP / patient benefits to reconcile denied claims. * Identifies ...

Lux Infusion

Reimbursement Specialist

Overland Park, KS · On-site

$23 - $27/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 ...

University Health

Reimbursement Specialist

San Antonio, TX

$16.50 - $23/hr

Experience in a medical or pharmacy related field to include direct patient care activities; project coordination; processing and overseeing medical insurance billing and reimbursement cost capture ...

Bronson Healthcare

Reimbursement Specialist

Kalamazoo, MI · On-site

$18.25 - $25/hr

Location BHG Bronson Healthcare Group Title Reimbursement Specialist Performs duties necessary to ... insurance eligibility using automated on-line systems. Shift First Shift Time Type Full time ...

CCS

Insurance Verification Representative

Houston, TX · On-site +1

$16.25 - $20.75/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 ...

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Insurance Reimbursement information

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$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 Specialist

Pediatric Associates

Plantation, FL • On-site

$18.25 - $25.25/hr

Full-time

Re-posted yesterday

Job description

PRIMARY FUNCTION:
Reimbursement Specialist is responsible for analyzing the billing process to determine appropriateness in payment (reimbursement). This position manages all components of claims processing including: 1) coordination of disputed, rejected, and delayed claims, and 2) to problem solve and review returned, disputed or rejected claims from Government and other third party Payers. Additionally, this position is responsible for communicating with billers regarding coding processes to prevent future denials.
ESSENTIAL FUNCTIONS OF THE JOB: (This list may not include all of the duties that may be assigned.)
  1. Processes correspondence related to assigned contracted and/or non-contracted insurance carriers including self-pay accounts.
  2. Researches denied and improperly processed claims by contacting assigned carriers to ensure proper processing of said claims. Call and check claim status, work A/R and insurance carrier reports, and insurance denials. Verifies insurance eligibility / PCP / patient benefits to reconcile denied claims.
  3. Identifies and corrects any claim processing errors due to data entry, verification, coding and/or posting. Add or update insurance carriers into practice management system. Review the Financial Class and the Insurance Group and verify that they are in the correct financial reporting groups.
  4. Resubmits improperly paid/denied claims to the carrier for proper payment in a timely manner.
  5. Monitor payer payment policies (bundling process) for each carrier to ensure guidelines are followed.
  6. Responsible for validating appeal opportunities, creating appeal letters, generating and submitting individual and/or batch appeals in a timely manner, tracking appeals and recoveries. Follow up on outstanding appeals, and work closely with the appropriate teams to validate contracts.
  7. Communicate and escalate denial trends, short payments, or payer policies to Management.
  8. Other various duties as assigned, including cross training in other functional areas.

*Non patient-facing
PERFORMANCE REQUIREMENTS:
Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI in accordance with organizational policy, Federal, State, and local regulations.
TYPICAL WORKING CONDITIONS:
Indoor Work
Operating Computer
Reach Outward
Manual Dexterity
Lift/Carry 20 lbs. or less
Push/Pull 12 lbs. or less
Sitting
Other Physical Requirements
Vision
Sense of Sound
Sense of Touch
EDUCATION: High school diploma/GED or equivalent.
LICENSURE/CERTIFICATION: None
EXPERIENCE: Minimum of 1 year of insurance/collection experience in a medical environment preferred.
KNOWLEDGE, SKILLS & ABILITIES:
  • Knowledge of billing and collection policies and procedures, all types of insurance (HMO, PPO, POS, Medicaid etc.)
  • Skill in defining problems, diagnostics of common coding errors, and impact on claims processing, collection of data, interpreting billing information.
  • Must possess strong interpersonal skills; must be able to communicate effectively with co-workers, the Business Office Manager and must be able to work effectively as a team member within the Business Office.
  • Ability to multi-task in a face paced environment while meeting established production and quality goals/metrics.
  • Strong organizational skills, with ability to effectively prioritize work and daily basis and follow up on open items in a timely manner.

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