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Reimbursement Manager Jobs in Springfield, MA (NOW HIRING)

TaraVista

Coding Manager, 40hrs, Hybrid

Holyoke, MA · Hybrid

$83K - $103K/yr

Partner with the CFO, HIM, CDI, Patient Financial Services, Compliance, and Medical Staff to improve documentation and reimbursement. * Manage TruBridge encoder configuration and coding resources ...

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Reimbursement Manager information

See Springfield, MA salary details

$45.3K

$93.6K

$123.1K

How much do reimbursement manager jobs pay per year?

As of Aug 11, 2026, the average yearly pay for reimbursement manager in Springfield, MA is $93,630.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,700.00 and $107,600.00 per year, depending on experience, location, and employer.

What are some common challenges faced by reimbursement managers, and how can they effectively address them?

Reimbursement Managers frequently encounter challenges such as navigating complex payer requirements, adapting to changing healthcare regulations, and ensuring accurate and timely claims processing. To address these issues, it's important to stay updated on policy changes, foster strong relationships with insurance providers, and implement robust internal processes for compliance and claims management. Collaborating closely with billing teams, clinical staff, and external payers can also help mitigate denials and improve reimbursement outcomes.

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

To thrive as a Reimbursement Manager, you need expertise in healthcare reimbursement processes, knowledge of payer regulations, and a degree in healthcare administration, finance, or a related field. Familiarity with billing software, claims management systems, and regulatory compliance tools is typically required, along with any relevant certifications such as Certified Professional Coder (CPC). Strong analytical skills, attention to detail, and effective communication help you navigate complex reimbursement cases and collaborate with diverse teams. These skills ensure accurate claims processing, maximize revenue, and maintain regulatory compliance for healthcare organizations.

What is the difference between Reimbursement Manager vs Claims Analyst?

AspectReimbursement ManagerClaims Analyst
CredentialsTypically requires a bachelor’s degree in healthcare administration, business, or related field; certifications like Certified Professional Coder (CPC) or Certified Reimbursement Specialist (CRS) are common.Usually holds a bachelor’s degree in healthcare, finance, or related area; certifications such as CPC or Certified Claims Professional (CCP) may be preferred.
Work EnvironmentManages reimbursement processes in healthcare organizations, insurance companies, or billing firms.Reviews and processes insurance claims within healthcare or insurance settings.
Industry UsageCommonly employed in healthcare, insurance, and billing companies.Found in healthcare providers, insurance companies, and third-party administrators.

The main difference is that Reimbursement Managers oversee the entire reimbursement process, ensuring compliance and efficiency, while Claims Analysts focus on reviewing and processing individual insurance claims. Both roles require similar credentials and work in related environments, but their responsibilities differ in scope and focus.

What does a reimbursement manager do?

A reimbursement manager works for a medical provider. Your duties in this position focus on getting third-party payment for services related to health care. Your responsibilities may involve using medical records information and medical coding knowledge to facilitate payments from a health insurer, Medicare provider, or government-run healthcare program. This job may include using codes and data to create a cost report and correcting any mistakes to ensure accuracy before submission to the insurer or agency. In a larger facility, you may oversee a staff of reimbursement specialists.

What does a reimbursement manager do?

A Reimbursement Manager oversees the processes related to insurance claims, billing, and payments for healthcare services. They ensure that their organization receives proper payment from insurance companies and government programs by managing claims submissions, resolving denied claims, and staying updated on payer policies. Reimbursement Managers also analyze reimbursement trends, train staff on best practices, and work to maximize revenue while ensuring compliance with regulations.
More about Reimbursement Manager jobs
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Reimbursement Manager jobs near you

Field Reimbursement Manager - Hartford CT

Veteran Jobs - 2023 Mar 01 - Veterans Resources

Hartford, CT • Hybrid

Full-time

Posted 4 days ago

Job description

 
ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Unless specifically stated otherwise, this role is On-Site at the location detailed in the job post.
 
Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, you'll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.
Field Reimbursement Manager 
What you will do
Let's do this. Let's change the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified geographic region for Patient Access and Reimbursement. This role involves supporting products by executing the collaborative territory strategic plan. The FRM will ensure an understanding of the reimbursement process, field reimbursement services, and patient support programs. They will also work on patient-level reimbursement issue resolution, requiring knowledge and experience with patient health information (PHI).
Act as an extension of the HUB, providing live one-on-one coverage support
Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements and forms
Review patient-specific information in cases where the site has specifically requested assistance resolving any issues or coverage challenges
Educate and update healthcare providers (HCPs) on key private and public payer coverage and changes that impact patient product access
Coordinate access/reimbursement issues with relevant partners, including the HUB
Provide information to HCPs on how the products are covered under the benefit design (Commercial, Medicare, Medicaid)
Serve as a payer expert for defined geography and promptly communicate payer changes to key stakeholders
Offer office education during the access process, including formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution
Educate offices using approved materials
Review patient insurance benefit options and alternate funding/financial assistance programs
Collaborate with other departments to resolve reimbursement issues
Working Conditions:
3 days a week in geography for customer appointments, (geography specific)
General office demands - Remote, Work from Home.
One to two home office days per week.
Must be able to travel up to 60-80% via automobile or plane.
Must have a valid driver's license with a clean driving record.
Possible long periods of sitting and/or keyboard work.

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