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Reimbursement Jobs (NOW HIRING)

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

Reimbursement Specialist At LUX Infusion, we're reimagining infusion care to be more human, supportive, and connected. Inspired by lux --meaning light - we guide patients, providers, and partners ...

Reimbursement Specialist

San Antonio, TX · On-site

$19.55 - $29.75/hr

POSITION SUMMARY/RESPONSIBILITIES Identifies and enrolls indigent and under-insured patients into drug assistance reimbursement programs which provide drug replacement and reimbursement compensation.

Reimbursement Specialist

Beverly, MA · 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 ...

Description The Reimbursement Specialist is responsible for assisting the Reimbursement Supervisor in all areas of Collection and Billing. Please be aware that this position requires full-time, in ...

Reimbursement Specialist

Brisbane, CA · On-site

$23.25 - $32/hr

The Reimbursement Specialist's primary focus will be claim submissions and follow up. This role will work with various departments within CareDX such as Customer Care, Revenue Cycle and Patient ...

Reimbursement Specialist

Houston, TX · On-site

$17.60 - $20.80/hr

Specialist With Reimbursement Experience SkyBridge Healthcare is currently seeking a Specialist with Reimbursement experience for a 13-week contract in Houston, TX. SkyBridge Healthcare is a premier ...

Reimbursement Specialist

Philadelphia, PA · 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 ...

The Reimbursement Specialist reports to the Deputy Public Health Administrator and/or their designee. Essential Duties Process and reconcile patient billing, claims, reimbursements, and revenue ...

Review incoming SD reimbursement to ensure OPWDD regulatory compliance * Maintain an updated knowledgebase of program regulations and requirements pertaining to reimbursements * Communicate timely ...

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 ...

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

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Reimbursement information

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$13

$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.

Manager, Reimbursement

University Hospitals

Shaker Heights, OH • On-site

Full-time

Posted 22 days ago


University Hospitals rating

7.3

Company rating: 7.3 out of 10

Based on 621 frontline employees who took The Breakroom Quiz

305th of 887 rated healthcare providers


Job description

A Brief Overview
The Manager, Reimbursement is responsible for the strategic oversight, analysis, compliance, and optimization
of all third-party reimbursement activities for the health system. This role leads Medicare, Medicaid, Tricare, and
other governmental reimbursement programs; oversees cost reporting and reimbursement accounting;
evaluates regulatory and payment model changes; and partners with Finance, Revenue Cycle, Government
Relations, Physician Services, and Graduate Medical Education (GME) leadership to maximize reimbursement
opportunities while ensuring regulatory compliance. The position serves as the organization's subject matter
expert on healthcare reimbursement methodologies, reimbursement accounting, government payment
programs, and reimbursement-related financial analytics. The Manager leads reimbursement staff, supports
organizational financial planning, and provides strategic recommendations to senior leadership regarding
revenue optimization and reimbursement risk.

What You Will Do

Reimbursement Strategy & Compliance
Direct and oversee all reimbursement functions in compliance with federal, state, and payer
regulations.
Monitor Medicare, Medicaid, Tricare, commercial payer, and other reimbursement programs for
regulatory and financial impact.
Assess the financial implications of proposed regulatory, reimbursement, and payment model changes.
Identify and implement reimbursement optimization strategies while maintaining regulatory
compliance.
Serve as the organization's reimbursement subject matter expert and trusted advisor to executive
leadership.

Cost Reporting
Manage the preparation, review, and timely submission of Medicare, Medicaid, Tricare, and other
governmental cost reports.
Ensure compliance with CMS regulations and applicable state reimbursement requirements.
Coordinate the collection, validation, and reconciliation of reimbursement-related financial and
statistical data.
Review cost report settlements, appeals, adjustments, and audit findings.
Research, prepare, and support reimbursement appeals and position papers.

Government Reimbursement Programs
Oversee reporting and compliance requirements related to:
Medicare reimbursement
Medicaid reimbursement
Critical Access Hospital (CAH) status
Medicare Dependent Hospital (MDH) programs
Rural designations and wage index optimization
Graduate Medical Education (GME)
Disproportionate Share Hospital (DSH)
Direct and Indirect Medical Education (DME/IME)
Supplemental payment and upper payment limit programs
Provider assessment and intergovernmental transfer programs

Audit & Regulatory Management
Lead reimbursement-related audits conducted by Medicare Administrative Contractors (MACs), state
agencies, external auditors, and other regulatory bodies.
Coordinate responses to reimbursement reviews and audit requests.
Maintain supporting documentation and audit-ready processes.
Monitor reimbursement risks and develop corrective action plans when needed.

Financial Analysis & Reporting
Oversee reimbursement-related accounting activities, reconciliations, journal entries, and month-end
close processes.
Analyze reimbursement reserves, settlements, receivables, and liabilities.
Prepare financial analyses, forecasts, and reimbursement projections for leadership.
Evaluate budget-to-actual variances and identify reimbursement-related revenue opportunities or
risks.
Provide executive-level reporting on reimbursement performance and key financial trends.

Revenue Optimization
Analyze reimbursement methodologies and payment models to identify revenue enhancement
opportunities.
Evaluate the financial impact of service line growth, physician arrangements, and strategic initiatives.
Support contract modeling and reimbursement analysis for payer negotiations.
Collaborate with Revenue Cycle and Managed Care teams to improve reimbursement outcomes and
cash flow performance.

Graduate Medical Education (GME)
Partner with GME leadership to support reimbursement and compliance initiatives.
Evaluate resident FTE counts, cap management, affiliation agreements, and related reimbursement
implications.
Coordinate reimbursement data requirements related to teaching programs and physician time studies.

Leadership & Staff Development
Lead, mentor, and develop reimbursement professionals and analysts.
Establish departmental goals, performance metrics, and development plans.
Promote an environment of accountability, collaboration, innovation, and continuous improvement.
Manage departmental workload, priorities, and resource allocation.

Strategic Collaboration
Collaborate with Accounting, Finance, Revenue Cycle, Treasury, Budget, Legal, Compliance, Managed
Care, and Operational leaders.
Support strategic planning, budgeting, forecasting, and organizational initiatives.
Participate in special projects involving reimbursement, regulatory compliance, and healthcare finance transformation.

Additional Responsibilities
Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Education Qualifications
Bachelor's Degree in Accounting, Health Care Administration, or Finance (Required)
Master's Degree (Preferred)

Experience Qualifications
5 years Healthcare accounting or consulting (Required)
3 years Supervisory experience (Required)

Skills and Abilities
Healthcare Reimbursement Expertise - Advanced knowledge of Medicare and Medicaid reimbursement
methodologies. Strong understanding of CMS regulations, cost reporting, reimbursement accounting,
and payment reform initiatives. Knowledge of physician and hospital reimbursement structures.
Experience with governmental and commercial payer reimbursement models. (Required proficiency)
Financial & Analytics Skills - Advanced financial modeling and analytical capabilities. Strong
understanding of GAAP and healthcare accounting principles. Ability to translate complex
reimbursement concepts into actionable business recommendations. Experience utilizing large data sets
to support reimbursement analyses and forecasting. (Required proficiency)
Technology & Systems - Advanced proficiency in Microsoft Excel, including complex modeling and data
analysis. Experience with ERP systems, reimbursement software, and healthcare financial reporting
tools. Familiarity with business intelligence and visualization platforms such as Power BI, Tableau, SQLbased
reporting tools, or related analytics solutions a plus. Experience leveraging automation, data
analytics, and AI-enabled tools to improve reimbursement processes and reporting efficiency. (Required
proficiency)
Leadership Competencies - Strategic thinking and business acumen. Strong project management and
organizational skills. Excellent written, verbal, and executive presentation skills. Proven ability to lead
cross-functional initiatives and influence stakeholders. Ability to manage competing priorities in a
dynamic healthcare environment.

Licenses and Certifications
Certified Public Accountant (CPA) (Preferred)

Physical Demands
Standing - Occasionally
Walking - Occasionally
Sitting - Constantly
Lifting - Rarely (up to 20 lbs)
Carrying - Rarely (up to 20 lbs)
Pushing - Rarely (up to 20 lbs)
Pulling - Rarely (up to 20 lbs)
Climbing - Rarely (up to 20 lbs)
Balancing - Rarely
Stooping - Rarely
Kneeling - Rarely
Crouching - Rarely
Crawling - Rarely
Reaching - Rarely
Handling - Occasionally
Grasping - Occasionally
Feeling - Rarely
Talking - Constantly
Hearing - Constantly
Repetitive Motions - Frequently
Eye/Hand/Foot Coordination - Frequently


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About University Hospitals

Sourced by ZipRecruiter

For more than 155 years, University Hospitals has been on a mission to heal, teach and discover. As a renowned academic medical center and community hospital network, we’ve expanded across Northeast Ohio to deliver what matters most to our patients: personalized, compassionate care; medical discovery and breakthroughs; and high-quality, affordable care close to home.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Cleveland, OH, US

Year founded

1866