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Medicare Reimbursement Jobs (NOW HIRING)

Virtua

Manager Reimbursement, Marlton

Marlton, NJ · On-site

$104K - $167K/yr

The Manager of Reimbursement serves as the health system's primary subject matter expert for Medicare reimbursement, governmental regulations, and complex reimbursement methodologies. This role ...

UHS

Director - Reimbursement - Acute

King Of Prussia, PA · On-site

The UHS Corporate Reimbursement Department is hiring a Director - Reimbursement - Acute to oversee ... Complete Medicare and Medicaid cost report submissions for assigned hospitals or other UHS entities ...

VIRTUA HEALTH

Manager Reimbursement, Marlton

Wooster, OH · Hybrid

$104K - $167K/yr

The Manager of Reimbursement serves as the health system's primary subject matter expert for Medicare reimbursement, governmental regulations, and complex reimbursement methodologies. This role ...

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Medicare Reimbursement information

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How much do medicare reimbursement jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for medicare reimbursement in the United States is $19.91, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $21.39 per hour, depending on experience, location, and employer.

What is the difference between Medicare Reimbursement vs Medical Billing Specialist?

AspectMedicare ReimbursementMedical Billing Specialist
CredentialsKnowledge of Medicare policies, coding, and billing proceduresCertification in medical billing or coding (e.g., CPC, CCS)
Work EnvironmentHealthcare facilities, insurance companies, government agenciesMedical offices, hospitals, billing companies
Primary FocusProcessing and managing Medicare claims and paymentsPreparing, submitting, and following up on medical bills

Medicare Reimbursement involves understanding and managing payments from Medicare, focusing on claims processing for Medicare-covered services. Medical Billing Specialists handle a broader range of insurance claims, including Medicare, but also private insurers. While both roles require knowledge of billing procedures, Medicare Reimbursement is specialized in Medicare policies and reimbursement processes.

What are the key skills and qualifications needed to thrive in Medicare reimbursement?

To thrive in Medicare Reimbursement, you need a solid understanding of healthcare billing, Medicare regulations, and coding systems, often supported by a degree in healthcare administration or a related field. Familiarity with electronic health record (EHR) systems, Medicare billing software, and certifications such as Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) are typically required. Strong analytical skills, attention to detail, and effective communication help professionals navigate complex regulations and resolve discrepancies. These skills ensure accurate reimbursement, compliance with laws, and financial stability for healthcare organizations.

What are some common challenges faced by professionals in Medicare reimbursement roles and how can they be addressed?

Professionals in Medicare reimbursement often encounter challenges such as keeping up with frequent regulatory changes, ensuring accurate claims submissions, and managing denials or appeals. Staying informed through ongoing education and training is essential, as Medicare guidelines are regularly updated. Building strong relationships with billing, coding, and clinical staff can help streamline documentation and communication, reducing errors and improving reimbursement rates. Leveraging electronic health record (EHR) systems and audit tools can also help track compliance and identify potential issues early.

What is Medicare reimbursement?

Medicare reimbursement refers to the process by which healthcare providers receive payment from the Medicare program for services delivered to Medicare beneficiaries. Providers submit claims to Medicare, which then reviews and pays an approved amount according to set fee schedules and coverage rules. The reimbursement rates and requirements can vary depending on the type of service, provider, and specific Medicare plan. Understanding Medicare reimbursement is important for providers to ensure compliance and accurate payment for services rendered to eligible patients.
More about Medicare Reimbursement jobs
What cities are hiring for Medicare Reimbursement jobs? Cities with the most Medicare Reimbursement job openings:
What are the most commonly searched types of Medicare Reimbursement jobs? The most popular types of Medicare Reimbursement jobs are:
What states have the most Medicare Reimbursement jobs? States with the most job openings for Medicare Reimbursement jobs include:
What job categories do people searching Medicare Reimbursement jobs look for? The top searched job categories for Medicare Reimbursement jobs are:
Medicare Reimbursement jobs near you
Infographic showing various Medicare Reimbursement job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 17% Part Time, and 10% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $41,423 per year, or $19.9 per hour.

Medicare Reimbursement Specialist

New York City | Health

Manhattan, NY • On-site

$21.25 - $29.25/hr

Other

Medical, Retirement

Posted 2 days ago

New

Job description

Medicare Reimbursement Specialist

The Office of Labor Relations (OLR) represents the Mayor in the conduct of all labor relations between the City of New York and labor unions representing employees of the City. The Commissioner serves on behalf of the Mayor as the City's liaison with both labor and management in the private sector. The office is authorized by Executive Order 38 (February 7, 1967), amended by Executive Order 13 (July 24, 1990). Additionally, OLR administers the Health Benefits Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement, and Pre-Tax Benefits & Citywide Programs, including the Deferred Compensation Plan and NYCE IRA. In addition to negotiating collective bargaining agreements, OLR serves as a resource to agencies regarding labor issues and works with the Municipal Labor Committee (MLC) to pursue innovations in a variety of areas, particularly regarding City health insurance programs. OLR staff assist their fellow agencies in handling personnel and payroll issues, conducting labor-management meetings, representing the City at representation hearings, and handling all employee grievances and arbitration matters, while also negotiating collective bargaining agreements with the City's 149 bargaining units. The City reimburses City retirees who pay Medicare Part B and/or Income-Related Monthly Adjustment (IRMAA) premiums. The Health Benefits Program receives, on average, 12,000 new Medicare Part B applications annually and 17,000 IRMAA applications every year. These applications must be reviewed for eligibility and processed between May and September each year in order to meet the Medicare Part B and IRMAA reimbursement annual payments in April and October of every year. The Medicare Reimbursement Specialist will be responsible for:

  • Processing Medicare cards for Medicare-eligible retirees and their Medicare-eligible dependents to ensure reimbursement of standard Medicare Part B premiums.
  • Reviewing required documentation to determine eligibility for IRMAA reimbursement.
  • Processing complete IRMAA reimbursement applications accurately and within established deadlines.
  • Troubleshooting Medicare Part B and IRMAA reimbursement issues and corresponding directly with retirees to resolve payment and eligibility concerns.
  • Serving as the liaison with agencies and participating employers regarding reimbursement matters affecting retirees and their eligible dependents.
  • Ensuring compliance with program policies and maintaining accurate records related to reimbursement activity.
Minimum Qualifications

Qualification Requirements 1. High school graduation or equivalent and three years of experience in community work or community centered activities in an area related to duties described above; or 2. Education and/or experience which is equivalent to "1" above.

Preferred Skills

- Proficient in MS Excel - Knowledge of City's NYCAPS database - Excellent written and verbal communication skills - A composed individual able to multi-task, navigate multiple computer applications and work efficiently while communicating with and serving the client - Flexible and quick learner

Public Service Loan Forgiveness

As a prospective employee of the City of New York, you may be eligible for federal loan forgiveness programs and state repayment assistance programs. For more information, please visit the U.S. Department of Education's website at https://studentaid.gov/pslf/.

Residency Requirement

New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.

Additional Information

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.

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