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Reimbursement Jobs (NOW HIRING)

Reimbursement Specialist

Fort Belvoir, VA ยท On-site

$21.75 - $30/hr

The Reimbursement Specialist serves as a highly skilled reimbursement and patient access resource within a manufacturer-sponsored Patient Support Services (HUB) program. As an employee of the HUB ...

New

Position Summary Insight Global Health is seeking a reimbursement analyst who is responsible for supporting reimbursement, financial, and operational analysis across the health system. This ...

New

Insurance Reimbursement Specialist Maven Wise, LLC is recruiting for an Insurance Reimbursement Specialist to support insurance reimbursement for pre-sales and post-sales service functions with a ...

Benefits | CoxHealth The Senior Reimbursement Analyst is responsible for various functions and support related to Governmental and Commercial/Managed Care reimbursement evaluation, analysis and ...

Reimbursement Specialist

Beverly, MA ยท On-site

$21.25 - $29.25/hr

Reimbursement Specialist - Healthcare Industry Assignment Length: 13-26 weeks Schedule : 8:30-4:30PM - Monday thru Friday Location : Beverly, MA About the Role: * The Billing & Reimbursement ...

Reimbursement Specialist

Charlottesville, VA ยท On-site

$67K - $127K/yr

To perform the functions of contractual allowances reimbursement cost reporting revenue budgeting and special projects. To implement changes resulting from research of laws and regulations issued by ...

SUMMARY The Reimbursement Representative performs reconciliation and review of all outstanding Medicare/Commercial patient balances in accordance with US Renal Care reimbursement policies and ...

Reimbursement Specialist

Philadelphia, PA ยท On-site

$60K - $90K/yr

We are seeking a Reimbursement Specialist to add to grow expand our Patient Access Services (Hub Services) division for buy and bill pharma manufacturers and to support top-level executives in the ...

Responsibilities The Reimbursement Manager is responsible for the recording of Patient Net Revenue and related reserves of a multi-hospital system comprised of acute care, Children's, and teaching ...

Benefits | CoxHealth The Senior Reimbursement Analyst is responsible for various functions and support related to Governmental and Commercial/Managed Care reimbursement evaluation, analysis and ...

Reimbursement Specialist

Philadelphia, PA ยท On-site

$19.50 - $26.75/hr

The Reimbursement Specialist will provide reimbursement and financial support to both corporate and hospital leadership in an efficient and customer-focused manner. The Specialist will report to the ...

Reimbursement Specialist

Rockford, IL ยท On-site

$19.25 - $26.50/hr

Annual wellness reimbursement * Opportunity for on-site day care through UW Health Kids * Tuition reimbursement for career advancement--ask about our fully funded programs! * Abundant career growth ...

Benefits | CoxHealth The Senior Reimbursement Analyst is responsible for various functions and support related to Governmental and Commercial/Managed Care reimbursement evaluation, analysis and ...

Labcorp is seeking a HYBRID Reimbursement Analyst II to join our team! Work Schedule: Monday - Friday; 8:00am-5:00pm EST This hybrid position offers a balanced schedule of three in-office workdays at ...

Reimbursement Specialist

San Antonio, TX ยท On-site

$17.50 - $24/hr

Performs a variety of AR activities and related tasks in order to recognize the maximum reimbursement from each claim. This position will be responsible for navigating the electronic medical record ...

Join MPOWERHealth as a Reimbursement Specialist - Where Your Skills Drive Healthcare Forward! Are you a natural problem-solver who thrives on turning challenges into opportunities? Do you enjoy ...

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Reimbursement information

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$23

$43

How much do reimbursement jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for reimbursement in the United States is $23.48, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $25.48 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in a reimbursement specialist role?

To excel as a Reimbursement Specialist, you need expertise in medical billing, insurance claims processing, and a solid understanding of healthcare reimbursement policies, typically supported by a degree in healthcare administration or related field. Familiarity with billing software, electronic health records (EHR) systems, and certifications such as Certified Professional Biller (CPB) are highly valuable. Attention to detail, problem-solving abilities, and strong communication skills help navigate payer requirements and resolve claim issues. These competencies are crucial for ensuring timely and accurate reimbursement, optimizing revenue cycles, and maintaining compliance in healthcare organizations.

What is a reimbursement specialist?

Reimbursement specialists are professionals who help healthcare providers and patients navigate the process of receiving payment for medical services from insurance companies or government programs. They review claims, ensure billing accuracy, and work to resolve denials or issues related to insurance reimbursement. Their role is crucial in making sure that healthcare providers are paid appropriately and that patients understand their insurance benefits and out-of-pocket costs.

What is a reimbursement job?

A reimbursement job involves roles where employees are compensated for expenses they incur on behalf of their employer, such as travel, supplies, or training costs. These jobs often require knowledge of expense reporting systems and company policies to ensure accurate and timely reimbursement processes.

What is the difference between Reimbursement vs Medical Billing Specialist?

AspectReimbursementMedical Billing Specialist
Required CredentialsKnowledge of insurance policies, coding, and billing proceduresCertification in medical billing or coding (e.g., CPC, CBCS)
Work EnvironmentHealthcare facilities, insurance companies, billing departmentsMedical offices, hospitals, billing companies
Industry UsageFocuses on recovering costs from insurers and patientsPrepares and submits claims, manages billing processes

Reimbursement involves the process of recovering costs from insurance companies or patients, often focusing on claims processing and payment recovery. Medical Billing Specialists handle the detailed task of preparing, submitting, and managing billing claims. While reimbursement is a broader financial process, medical billing specialists are the professionals executing that process within healthcare settings.

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

Professionals in reimbursement roles often encounter challenges such as navigating complex insurance policies, staying updated with frequent changes in healthcare regulations, and managing denied or delayed claims. Addressing these issues requires strong attention to detail, continuous education on industry updates, and effective communication with both payers and internal teams. Building collaborative relationships with providers and insurance representatives can also help resolve reimbursement issues more efficiently and ensure timely payments.
More about Reimbursement jobs
What cities are hiring for Reimbursement jobs? Cities with the most Reimbursement job openings:
What are the most commonly searched types of Reimbursement jobs? The most popular types of Reimbursement jobs are:
What states have the most Reimbursement jobs? States with the most job openings for Reimbursement jobs include:
Infographic showing various 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 $48,841 per year, or $23.5 per hour.

Reimbursement Specialist

ARM Consulting

Fort Belvoir, VA โ€ข On-site

$21.75 - $30/hr

Full-time

Posted 3 days ago

New


Job description

Position Description: 

The Reimbursement Specialist serves as a highly skilled reimbursement and patient access resource within a manufacturer-sponsored Patient Support Services (HUB) program. As an employee of the HUB services vendor, this role supports patients, healthcare providers, specialty pharmacies, and internal stakeholders by facilitating timely access to prescribed therapies through expert navigation of complex healthcare reimbursement processes. 

The Reimbursement Specialist is responsible for conducting comprehensive benefit investigations, analyzing medical and pharmacy benefit coverage, supporting prior authorization and appeal processes, identifying payer-related access barriers, coordinating with specialty pharmacy partners, and assisting healthcare providers with reimbursement-related  

requirements.
This role requires advanced knowledge of commercial and government payer environments, specialty pharmaceutical reimbursement pathways, patient access programs, and healthcare benefit structures. The Reimbursement Specialist must demonstrate the ability to independently manage complex cases, interpret payer requirements, communicate effectively with healthcare professionals, and deliver exceptional service while maintaining strict compliance with manufacturer-approved program guidelines. The successful candidate will serve as a trusted reimbursement resource within a high-performing HUB environment and will contribute to improving patient access across multiple therapeutic areas and pharmaceutical products


Key Responsibilities:  

  • Comprehensive Benefit Investigation & Reimbursement Analysis 
    • Conduct detailed medical and pharmacy benefit investigations for assigned products and therapeutic area
    • Analyze patient insurance coverage including: 
    • Commercial insurance
    • Medicare Part B
    • Medicare Part D
    • Medicaid
    • Managed Medicaid
    • Employer-sponsored plans
    • Government-sponsored plans
    • Determine benefit coverage requirements, including: 
    • Deductibles 
      • Prior Authorization Support & Access Navigation 
        • Review payer-specific prior authorization requirements
        • Educate provider offices regarding payer documentation expectations
        • Support completion and submission of prior authorization requests
        • Monitor authorization progress and communicate status updates
        • Identify missing information impacting approval timelines
        • Support escalation of complex access issues
        • Assist providers with understanding payer processes without influencing clinical decision-making
      • Appeals & Denial Resolution Support 
        • Review payer denial information and identify appropriate next steps
        • Support healthcare providers with appeal documentation requirements
        • Coordinate collection of supporting information
        • Track appeal submissions and payer outcomes
        • Identify payer trends impacting patient access
        • Escalate recurring barriers to HUB leadership
      • Specialty Pharmacy & Distribution Support 
        • Coordinate reimbursement activities with specialty pharmacy partners. 
        • Support prescription triage and fulfillment workflows. 
        • Resolve reimbursement-related delays impacting therapy initiation. 
        • Communicate coverage outcomes and access requirements. 
        • Understand specialty pharmacy network requirements and payer mandates. 
        • Assist with transitions between specialty pharmacies when required 
      • Patient Assistance & Affordability Program Support  
        • Educate patients and providers regarding available manufacturer-sponsored support programs
                • Assess patient eligibility for applicable affordability program
                • Assist with documentation requirements
                • Ensure enrollment activities are completed accurately and compliantly
              • Provider Education & Customer Support  
              • Case Management & Documentation 


              Minimum Qualifications: 

              Education 

              • Bachelor's degree in healthcare administration, nursing, pharmacy, life sciences, business, public health, or related field 
              • In lieu of a bachelor's degree, a minimum of five (5) years of progressive experience in:  
                • Pharmaceutical HUB services 
                • Specialty pharmacy 
                • Patient access services 
                • Healthcare reimbursement 

                Experience 

                • Experience with three (3) years of healthcare reimbursement or patient access 
                • Experience working with: 
                  • Commercial payers 
                  • Medicare 
                  • Medicaid 
                  • Specialty pharmacies 
                  • Prior authorization platforms 



                Required Skills:  

                • Knowledge & Technical Expertise
                  of: 
                  • Medical and pharmacy benefit structures 
                  • Specialty pharmacy workflows 
                  • Prior authorization processes 
                  • Appeals processes 
                  • Payer policies 
                  • PBM operations 
                  • Specialty medication access pathways 
                  • Copay assistance programs 
                  • Patient assistance programs 
                  • Reimbursement terminology 
                • Technology Skills
                  with: 
                  • HUB case management platforms 
                  • CRM systems 
                  • Specialty pharmacy portals 
                  • Electronic prior authorization systems 
                  • Payer portals 
                  • Microsoft Office Suite 
                  • Reporting dashboards 



                Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States. 

                ARM is an EEO and Affirmative Action Employer of Females/Minorities/Veterans/Individuals with Disabilities. 

                All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. 

                ARM is an Equal Opportunity Employer