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Reimbursement Analyst Jobs (NOW HIRING)

CoxHealth

Reimbursement Analyst

Springfield, MO

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

UPMC Health Plan

Reimbursement Analyst

Pittsburgh, PA · Hybrid

The Reimbursement Analyst is a middle level analytical position responsible for all aspects of provider reimbursement. This includes establishing and maintaining compensation rates for hospitals ...

CoxHealth

Reimbursement Analyst

Springfield, MO · On-site

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

Coxhealth

Reimbursement Analyst

Springfield, MO

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

NeoGenomics Laboratories

Reimbursement Analyst

$45K - $65K/yr

NeoGenomics is looking for a Strategic Reimbursement Analyst who wants to continue to learn in order to allow our company to grow. Shift: Monday - Friday 8am to 4:30pm Now that you know what we're ...

ProCare Rx

Reimbursement Analyst

Gainesville, GA · On-site

Analyze pharmacy claims data utilization to identify financial trends, opportunities, and potential ... Perform scheduled review and quality assurance of reimbursement in the system. * Assist the legal ...

Merrimack Health

Senior Reimbursement Analyst

Lawrence, MA · On-site

$43.28 - $64.93/hr

As the Senior Reimbursement Analyst, you will be under the direction of the Director of Reimbursement. This position estimates net revenue and prepares analysis and cost reports which are issued to ...

giftHEALTH Inc

Reimbursement Analyst

Columbus, OH · On-site

$24.81 - $29.18/hr

Position Summary A Reimbursement Analyst is responsible for being the primary point of contact in assisting patients or healthcare providers in obtaining access to therapy for the reimbursement hub ...

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How much do reimbursement analyst jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for reimbursement analyst in the United States is $32.54, according to ZipRecruiter salary data. Most workers in this role earn between $25.72 and $37.74 per hour, depending on experience, location, and employer.

What does a reimbursement analyst do?

A reimbursement analyst reviews and processes claims to ensure accurate and timely reimbursement for services or expenses. They analyze financial data, verify documentation, and ensure compliance with policies, often using specialized software and industry regulations. Their work helps organizations manage costs and optimize reimbursement processes.

How does a Reimbursement Analyst typically collaborate with other departments to optimize revenue cycle performance?

A Reimbursement Analyst works closely with billing, coding, finance, and clinical teams to ensure accurate claim submissions and maximize reimbursements from payers. They often analyze reimbursement trends, resolve discrepancies, and provide insights to improve processes. Regular meetings with these departments help identify bottlenecks and implement best practices, fostering a collaborative environment focused on efficient revenue cycle management.

How to become a reimbursement analyst?

To become a reimbursement analyst, candidates typically need a bachelor's degree in healthcare administration, finance, or a related field. Relevant skills include knowledge of billing, coding, and insurance processes, along with proficiency in data analysis tools like Excel or specialized software. Gaining experience through internships or entry-level positions can also improve job prospects.

What are the key skills and qualifications needed to thrive as a Reimbursement Analyst, and why are they important?

To thrive as a Reimbursement Analyst, you need strong analytical skills, knowledge of healthcare billing and reimbursement processes, and a relevant degree in finance, healthcare administration, or a related field. Proficiency with claims management software, Excel, and familiarity with payer systems like Medicare and Medicaid are typically required. Attention to detail, problem-solving abilities, and effective communication help distinguish top performers in this role. These skills are crucial for accurately interpreting reimbursement policies, ensuring revenue integrity, and maximizing payments for healthcare organizations.

What Is a Reimbursement Analyst?

As a reimbursement analyst, you typically work at a medical facility and analyze patient data to determine reimbursement eligibility. Your duties include examining payer policies, minimizing patient denials, maximizing reimbursement compensation, and producing cost reports. You also work closely with physicians, patients, and other department staff. The career usually requires a bachelor’s degree in accounting or a related field and experience with detailed data analysis. Additional qualifications include excellent critical thinking, interpersonal, and mathematical skills.

What is a Reimbursement Analyst?

A Reimbursement Analyst is a professional who manages and analyzes the processes related to insurance claims, billing, and reimbursement for healthcare providers or organizations. They ensure accurate payment from insurance companies and government programs, review billing codes and documentation, and resolve discrepancies in claims. Reimbursement Analysts play a crucial role in maximizing revenue for healthcare providers by staying updated on payer policies and regulatory changes. Their work helps organizations remain compliant while optimizing reimbursement processes.

What jobs make $1,000,000 a year?

Reimbursement analysts typically do not earn $1,000,000 annually. Jobs that can reach this level include high-level executives, successful entrepreneurs, investment bankers, and certain specialized medical professionals, often requiring extensive experience, advanced skills, and significant responsibilities. Achieving such income usually involves leadership roles, ownership stakes, or performance-based bonuses.

What is the difference between Reimbursement Analyst vs Claims Analyst?

AspectReimbursement AnalystClaims Analyst
Required CredentialsBachelor's degree in healthcare, finance, or related field; certifications like CPC or CCS beneficialBachelor's degree; certifications like CPC or similar may be preferred
Work EnvironmentHealthcare providers, insurance companies, or government agenciesInsurance companies, healthcare organizations, or third-party administrators
Employer & Industry UsagePrimarily in healthcare and insurance sectors focusing on reimbursement processesIn insurance and healthcare sectors handling claims processing and review

Reimbursement Analysts and Claims Analysts often share similar educational backgrounds and work environments within healthcare and insurance industries. While Reimbursement Analysts focus on ensuring proper payment and reimbursement processes, Claims Analysts primarily review and process insurance claims. Both roles require attention to detail and knowledge of healthcare billing, making them closely related but distinct in their specific functions.

What jobs in the US pay 300,000 a year?

Reimbursement analysts typically do not earn $300,000 annually; such high salaries are more common in executive, medical, legal, or specialized financial roles. Positions like senior healthcare executives, law firm partners, or investment bankers often reach or exceed this level, especially with experience, certifications, and in high-demand environments.
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Reimbursement Analyst jobs near you
Infographic showing various Reimbursement Analyst job openings in the United States as of July 2026, with employment types broken down into 89% Full Time, 6% Part Time, 1% Temporary, and 4% Contract. Highlights an 83% Physical, 7% Hybrid, and 10% Remote job distribution, with an average salary of $67,679 per year, or $32.5 per hour.

Reimbursement Analyst

UPMC Senior Communities

Pittsburgh, PA • On-site

$21.14 - $35.13/hr

Full-time

Posted 7 days ago

Job description

Purpose:
The UPMC Health Plan is seeking a Reimbursement Analyst to fill an opening in our Hospital Reimbursement department. This role offers a flexible work arrangement and is required to be in office in downtown Pittsburgh 3 days per week; however; the remaining days can be worked remotely.
The Reimbursement Analyst is a middle level analytical position responsible for all aspects of provider reimbursement. This includes establishing and maintaining compensation rates for hospitals, physicians, and ancillary services. Knowledge of fee schedules, case rates, per-diems, PDPM, as well as any other reimbursement methodology is required.
This role is Hybrid and will require 3 days onsite in Downtown Pittsburgh
Responsibilities:
  • Work with Reimbursement Specialist in developing / negotiating reimbursement rates for new providers. Including accurate, easy to understand analysis of the negotiated rates.
  • Monitor and review new pricing configuration to assure the provider is pricing accurately as contracted. This includes maintaining documentation of your review.
  • Resolve reimbursement issues.
  • Update and maintain hospital reimbursement rate summary.
  • Act as company expert on all reimbursement issues.
  • Complete special projects accurately and timely.
  • Out of network negotiations when required.
  • Monitor Calendar to assure all action items are completed proactively.
  • Update and maintain hospital reimbursement reports for all product lines.
  • Reports include inpatient base rate comparisons, outpatient reimbursement comparisons to UPMC OP fee schedule, Observation cost per case.
  • Resolve problems that result in claims pending.
  • Work with configuration staff when negotiating to assure negotiated rates are operational.
  • Analyze and compare fee schedules.
  • Attend meetings when required.
  • Analyze all reimbursement, including outliers, transfer adjustments, etc.

Qualifications:
  • Bachelor's Degree in health care administration, business and/or other related discipline (Related experience in a health care administration setting may be substituted for educational requirements).
  • Excellent planning, communication, documentation, organizational, analytical, and problem-solving abilities.
  • Advanced mathematical skills.
  • Ability to interpret and summarize results of various analysis in a timely and meaningful way.
  • Strong computer skills, including expert knowledge of Access and Excel.
  • Experience with a physician practice, hospital, ancillary provider, health insurance company or integrated delivery system is preferred.
  • Preferred individual needs to have in depth understanding of managed care delivery systems and have had direct experience with reimbursement.
  • Knowledge of ICD-10CM, CPT4, Revenue Codes, DRGs, base rates, Medicare methodologies, Medicaid methodologies, HCPCS coding and related governmental guidelines and provider reimbursement methodologies preferred.
  • Ability to work cooperatively with multidisciplinary teams and/or independently.
  • Ability to re-engineer processes to positively impact productivity in terms of timeliness and accuracy.
    UPMC is an Equal Opportunity Employer/Disability/Veteran

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