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Reimbursement Case Jobs (NOW HIRING)

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 ...

University Health

Reimbursement Specialist

San Antonio, TX

$16.50 - $23/hr

Creates, expand and maintains computerized databases to support patient enrollment in assistance programs and tracks case specific assistance provided in response to reimbursement denials. Conducts ...

Serva Health LLC

Reimbursement Specialist

Philadelphia, PA · On-site

$60K - $90K/yr

We are seeking a Reimbursement Specialist to add to grow expand our Patient Access Services (Hub ... Our registered nurses support patient journeys across specialty pharmacy, case management, patient ...

MMC Group

Reimbursement Counselor

San Bruno, CA · On-site

$19.50/hr

Maintains frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers * Reports any reimbursement trends/delays to supervisor ...

Empath Health

Reimbursement Specialist

West Palm Beach, FL · On-site

$18.50 - $25.75/hr

Receives and answers inquiries from insurance sources/Case Managers regarding patient status or ... CEU support, tuition reimbursement, and advancement opportunities. * Make a Difference: Join a ...

FFF Enterprises

Reimbursement Specialist I

Temecula, CA · On-site

$19 - $26.25/hr

... case managers, pharmacy partners and nufactor field personnel in the role of coordinating reimbursement from product dispensing through to completion and final resolution of the payment cycle.

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Reimbursement Case information

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How much do reimbursement case jobs pay per hour?

As of Aug 7, 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 August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 18% Part Time, and 10% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $51,494 per year, or $24.8 per hour.

Float MDS Coordinator

Benedictine

Bismarck, ND • On-site

$40 - $45/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago

Job description


Float MDS Coordinator
Job Locations
USA-ND-Bismarck
Campus Name
Benedictine Living Community-Bismarck
Category
RN/LPN
Position Type
Casual
Shift
Days
Specific Shift Times
8 am - 430 pm
Scheduled Days of the Week
Varies
Weekend Work Requirement
Varies
Salary Range
$40-$45
Overview

The SC RN-Clinical Reimbursement Coordinator Float is responsible for assigned resident's MDS/RAI care plan implementation, completion, transmission, and auditing through the Triple Check process. The RN-Clinical Reimbursement Coordinator Float is responsible for coordination of clinical payment programs including the Quality Reporting Program, the Value Based Purchasing program and when applicable, community participation in incentive payment program initiatives. 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 professional nursing to assure resident safety. Provides MDS scheduling back up to the Clinical Reimbursement Manager, when applicable.

Responsibilities
    Participate in interdisciplinary Clinical Reimbursement meetings as delegated to gather information necessary for the development of the care plan and to ensure the insurer requirements for documentation are met.
  • Prepare or assist in the preparation, implementation and scheduling of each resident's MDS, CAA analysis and care plan.
  • Assist the Rehabilitation Services, Wellness, Culinary and Social Services departments with the MDS Monitor timeliness of MDS completion and reports any outstanding departments or issues.
  • Participate in internal reimbursement audit processes as assigned.
  • Performs other duties, tasks and/or projects as as assigned.
  • Promotes the Benedictine Mission and Core Values of Hospitality, Stewardship, Respect and Justice by bringing the Mission and Core Values into the day-to-day activities of the company.

Qualifications
QUALIFICATIONS REQUIRED
  • Graduation from an accredited school of professional nursing
  • Current applicable state RN license to practice nursing, which must be in good standing
  • BLS Certified
  • Experience in geriatric nursing
  • MDS/RAI experience in the past 2 years
  • Working knowledge of multi-state state and federal regulations governing long-term care facilities
  • Experience in working with the MDS, Medicare, assessment, and care-planning processes
QUALIFICATIONS PREFERRED
  • AANAC Certification RAC-CT
  • CPR Certified

EEO/AA/Vet Friendly

Salary Range
$40-$45
Benefits Statement

A robust benefits package is available to eligible associates, designed to meet the needs of every stage of life, including paid time off (PTO), retirement, medical, dental, vision, education assistance, and a variety of additional voluntary benefits. For more information visit our website at www.benedictineliving.org.

Additional Information

#BHSSC

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