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Reimbursement Case Jobs (NOW HIRING)

Benedictine

Float MDS Coordinator

Bismarck, ND

Responsible for case mix review in determining reimbursement case mix levels. Effectively interacts with residents, family members and other health team members, while maintaining standards of ...

Benedictine

Float MDS Coordinator

Bismarck, ND · On-site

$40 - $45/hr

Responsible for case mix review in determining reimbursement case mix levels. Effectively interacts with residents, family members and other health team members, while maintaining standards of ...

UPMC Health Plan

Reimbursement Analyst

Pittsburgh, PA · Hybrid

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 ...

UPMC Health Plan

Reimbursement Analyst

Pittsburgh, PA · Hybrid

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 ...

Benedictine

Float MDS Coordinator

Bismarck, ND · On-site

$40 - $45/hr

Responsible for case mix review in determining reimbursement case mix levels. Effectively interacts with residents, family members and other health team members, while maintaining standards of ...

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Reimbursement Case information

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How much do reimbursement case jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for reimbursement case in the United States is $24.76, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $26.92 per hour, depending on experience, location, and employer.

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

To thrive as a Reimbursement Case Specialist, you need a solid understanding of medical billing, insurance processes, and healthcare reimbursement policies, typically supported by experience in healthcare administration or a related field. Familiarity with claims management systems, electronic health records (EHRs), and knowledge of coding standards like ICD-10 and CPT is essential. Strong attention to detail, problem-solving abilities, and effective communication skills help in resolving reimbursement issues and working with patients and insurers. These competencies ensure accurate and timely reimbursement, minimize claim denials, and facilitate smooth operations in healthcare financial management.

What is a Reimbursement Case Specialist?

A Reimbursement Case Specialist is a professional who helps patients, healthcare providers, and insurance companies navigate the process of obtaining coverage and reimbursement for medical treatments, medications, or services. They review patient cases, verify insurance benefits, submit claims, and resolve issues related to denied or delayed payments. Their work ensures that patients receive the financial support they need for their healthcare while helping providers receive timely payment for their services.

What are some common challenges faced by Reimbursement Case Specialists, and how can they be effectively managed?

Reimbursement Case Specialists often encounter challenges such as navigating complex insurance policies, managing high caseloads, and ensuring timely communication between healthcare providers, patients, and payers. Staying organized and up-to-date on payer requirements is essential for success in this role. Building strong relationships with both internal teams and external contacts can help streamline case resolution and improve outcomes for patients.

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

AspectReimbursement CaseMedical Billing Specialist
Required credentialsKnowledge of insurance policies, coding, and reimbursement proceduresMedical coding certifications, billing software proficiency
Work environmentHealthcare facilities, insurance companies, or billing agenciesHospitals, clinics, or physician offices
Employer usageHandling insurance claims and reimbursement processesProcessing patient bills and coding services

Reimbursement Case professionals focus on managing insurance claims and ensuring proper reimbursement, often requiring knowledge of insurance policies and reimbursement procedures. Medical Billing Specialists primarily handle billing, coding, and submitting claims for healthcare providers. While both roles involve billing and coding, Reimbursement Cases are more centered on insurance reimbursement processes, whereas Medical Billing Specialists focus on patient billing and coding accuracy.

More about Reimbursement Case jobs
What are the most commonly searched types of Reimbursement Case jobs? The most popular types of Reimbursement Case jobs are:
What job categories do people searching Reimbursement Case jobs look for? The top searched job categories for Reimbursement Case jobs are:
Reimbursement Case jobs near you
Infographic showing various Reimbursement Case job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 78% Full Time, 17% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $51,494 per year, or $24.8 per hour.
Business Office Manager ( BOM )

Business Office Manager ( BOM )

ExcelCare At Dover

Dover, NJ

Full-time

Posted 11 days ago

Job description

Excelcare at Dover is seeking an experienced Business Office Manager (BOM) to oversee the daily financial and business office operations within our skilled nursing facility. The ideal candidate will have a strong understanding of healthcare billing, reimbursement, case management, collections, and Medicaid processes.


Located at 65 N Sussex St, Dover, NJ 07801


Business Office Manager ( BOM ) Benefits:

  • Paid time off, paid sick time and paid holidays

  • 401(k) with up to 5% matching

  • Daily pay option

  • Employee -only discounts, perks and rewards programs

Business Office Manager ( BOM ) Responsibilities

  • Oversee business office operations, including billing, accounts receivable, collections, and financial reporting

  • Manage the revenue cycle process from admission through final account resolution

  • Ensure accurate census management, payer information, and insurance authorizations

  • Coordinate case management activities for skilled residents, including insurance reviews, continued stay authorizations, and appeals

  • Work closely with Nursing, Therapy, MDS, Social Services, and Admissions to support reimbursement and discharge planning

  • Assist residents and families with Medicaid applications and monitor pending eligibility cases

  • Manage private pay accounts, patient liability collections, and payment arrangements

  • Maintain resident trust accounts in compliance with state and federal regulations

  • Ensure compliance with Medicare, Medicaid, HIPAA, and other regulatory requirements

  • Prepare for audits and maintain accurate financial and billing documentation

Business Office Manager ( BOM ) Qualifications:

  • Minimum of 1 year of Business Office Management experience in a skilled nursing facility (SNF)

  • Strong knowledge of Medicare, Medicaid, Managed Care, Commercial Insurance, and Private Pay billing

  • Experience with accounts receivable, collections, and healthcare reimbursement processes

  • Experience with PointClickCare (PCC) or similar electronic medical record and billing systems preferred

  • Strong organizational, communication, and problem-solving skills

  • Experience with resident trust accounts and Medicaid processes is a plus


Excelcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.