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Reimbursement Case Jobs (NOW HIRING)

University Health

Reimbursement Specialist

San Antonio, TX · On-site

$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 ...

University Health

Reimbursement Specialist

San Antonio, TX · On-site

$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 ...

Valeris, Inc.

Reimbursement Specialist

Raleigh, NC · On-site

$55 - $75/hr

Working case management system, documenting status/background in case notes, communicating patient ... reimbursement/insurance, healthcare billing, physician office, health insurance processing or ...

Serva Health LLC

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Reimbursement Specialist

Mount Laurel, NJ · 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 ...

Urgent

A-Line Staffing Solutions

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Remote Case Manager (Reimbursement Support Services)

Lewisville, TX · Remote

$20/hr

Remote Case Manager (Reimbursement Support Services) Job Title: Remote Case Manager (Reimbursement Support / Patient Access) Location: Work From Home (United States) Pay: $20.00/hour Schedule ...

New

LifeCare Medical Center

Reimbursement Analyst

Roseau, MN · On-site

$26.49 - $37.09/hr

Reimbursement Analyst The primary responsibility of the Reimbursement Analyst is to track, monitor ... Compensation decisions are dependent on the facts and circumstances of each case and on several ...

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 ...

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Reimbursement Case information

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How much do reimbursement case jobs pay per hour?

As of Sep 6, 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 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 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 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.

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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, 73% Full Time, 17% Part Time, and 9% 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.

MDS Nurse-RN/LPN Remote-Michigan Licensed at Concept Rehab, Inc Toledo, OH

Dan Cummins Ford Lincoln

Toledo, OH • On-site

$70 - $100/hr

Other

Posted 5 days ago

Job description

MDS Nurse-RN/LPN Remote-Michigan Licensed job at Concept Rehab, Inc. Toledo, OH.

Description Full Time MDS Nurse- Michigan License is required

The MDS Nurse supports Engage Consulting clients by providing a variety of tasks, such as MDS completion, case mix review, and auditing services that are related to CMS initiatives, regulatory compliance, MDS coding, billing, and reimbursement accuracy. The successful candidate will excel in critical thinking, accuracy, and MDS completion skills while thriving in an environment that supports the work being a hybrid of remote and in-person. This position reports to the Director of Clinical Consulting.

Essential Functions Of The Job
  • Responsible for the coordination, completion, and submission (including timing and scheduling) of mandated OBRA and Medicare
  • MDS assessments, as assigned.
  • Responsible for the development, review, and/or revision of resident specific care plans as a member of the interdisciplinary team, in coordination with the completion of MDS assessments following RAI Guidelines.
  • Responsible for contributing to and attending key meetings in the facility in-person and remotely including but not limited to morning meeting, Case Mix, Quality Measure, and Medicare/Utilization Review
  • Provide interim MDS completion services, as assigned focusing on accurate scheduling, completion, and submission of MDS following RAI Guidelines.
  • Provide technical review of audits with ability to focus on reimbursement accuracy/optimization, Case Mix Management, Quality
  • Measure Management, and MDS accuracy reviews.
  • Maintain clinical and regulatory knowledge in accordance with current geriatric care standards of practice, including but not limited to Federal Survey Requirements, MDS 3.0 RAI Manual, federal and state health regulations, CMS Requirements of Participation, and payor guidelines.
  • Consistently demonstrate sound judgement and provides ethical guidance to customers for SNF practices.
  • Provide direct assistance to the Senior Practice Manager and Director of Clinical Consulting as requested.
  • Must be familiar with Electronic Medical Record (EMR) programs including Point Click Care, Matrix Care, and therapy software systems.
  • Ability to work a hybrid schedule of remote as well as in-person facility representation.
  • Consistently portray the mission, vision, core values, cornerstones and professional image of Engage Consulting, exercise good judgement in the performance of the job.
  • Special projects and other duties as assigned.
Requirements
  • Registered Nurse (RN) or Licensed Practical Nurse (LPN) with active Nursing licensure.
  • Minimum two years of experience performing MDS completion in a SNF.
  • AAPACN Resident Assessment Coordinator Certification (RAC-CT) preferred.
  • Intermediate knowledge of SNF Reimbursement and Billing Regulations, including but not limited to RAI guidelines, PDPM Reimbursement, Case Mix Management, and specific state nursing documentation guidelines.
  • Intermediate knowledge of Microsoft Office (Word, Excel, PowerPoint, and Outlook).
Core Competencies

Healthcare Billing Expertise, Relationship Management, Project Management, Excellent Interpersonal Skills, Care Plan Development, Technological Skills, Problem-Solving and Analytical Skills, Critical Evaluation, Cultural Awareness, Ethical Practice, Ability to Exercise Independent Judgement and Discretion, Maintain Confidentiality.

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