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Reimbursement Processor information

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How much do reimbursement processor jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for reimbursement processor in the United States is $17.99, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.71 per hour, depending on experience, location, and employer.

What is a reimbursement processor?

Reimbursement Processors are professionals responsible for reviewing, verifying, and processing claims for reimbursement, typically in healthcare, insurance, or corporate settings. They ensure that all documentation is accurate, complete, and compliant with relevant policies before approving payments. Their work helps organizations manage financial transactions efficiently and ensures that clients or employees receive timely reimbursements for eligible expenses. Reimbursement Processors also communicate with claimants to resolve discrepancies and answer questions about the reimbursement process.

What are the key skills and qualifications needed to thrive as a reimbursement processor?

To thrive as a Reimbursement Processor, you need strong attention to detail, familiarity with medical billing or insurance processes, and typically a background in finance, accounting, or healthcare administration. Experience with claims management software, electronic health records (EHRs), and proficiency in Microsoft Office, especially Excel, are often required. Excellent organizational skills, time management, and effective communication are valuable soft skills for this role. These abilities ensure accurate and timely processing of reimbursement claims, minimizing errors and supporting efficient financial operations within the organization.

What are the most common challenges faced by reimbursement processors, and how can they be managed effectively?

Reimbursement Processors often encounter challenges such as managing high volumes of claims, staying updated on changing insurance policies, and ensuring accuracy in documentation. Effective time management, strong attention to detail, and clear communication with both internal teams and external stakeholders are essential for overcoming these challenges. Many organizations provide ongoing training and support to help processors keep up with regulatory changes and improve workflow efficiency. Building strong relationships with colleagues in billing, finance, and customer service teams also helps streamline issue resolution and fosters a collaborative work environment.

What is the difference between Reimbursement Processor vs Claims Specialist?

AspectReimbursement ProcessorClaims Specialist
CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma or equivalent; certifications like CPC may be preferred
Work EnvironmentHealthcare offices, insurance companies, hospitalsInsurance companies, healthcare providers, third-party administrators
Job FocusProcessing reimbursements, verifying payment accuracyReviewing, processing, and adjudicating insurance claims

Reimbursement Processors primarily handle payment processing and verifying reimbursements, while Claims Specialists focus on reviewing and adjudicating insurance claims. Both roles require similar credentials and often work in healthcare or insurance settings, but their core responsibilities differ in scope and focus.

What cities are hiring for Reimbursement Processor jobs?

Cities with the most Reimbursement Processor job openings:

What states have the most Reimbursement Processor jobs?

States with the most job openings for Reimbursement Processor jobs include:

What are popular job titles related to Reimbursement Processor jobs?

For Reimbursement Processor jobs, the most frequently searched job titles are:

Reimbursement Processor jobs near you

Reimbursement Supervisor

Mckinney, TX • On-site

STONEBRIDGE INDEPENDENT COUNELING CENTER
See more jobs at STONEBRIDGE INDEPENDENT COUNELING CENTERexternal

$21 - $28/hr

Full-time

PTO

Re-posted 28 days ago

Job description

Benefits:
  • Competitive salary
  • Flexible schedule
  • Paid time off
  • Training & development


Job Title: Reimbursement Manager
Department: Revenue Cycle / Billing
Reports To: CEO
Job Type: Full-Time
Location: McKinney, TX
Position Summary:

The Reimbursement Manager is responsible for leading and supervising all aspects of the reimbursement and medical billing process. This role oversees a team of specialists to ensure accurate claim submissions, payment collections, compliance with payer and regulatory requirements, and timely resolution of billing issues. The Reimbursement Manager also plays a key role in training, workflow optimization, and payer communication to ensure the financial health of the organization.
Key Responsibilities:

  • Supervise daily operations of the reimbursement team including claim submission, billing edits, denials, and collections.
  • Ensure timely and accurate submission of claims (electronic and paper) with appropriate documentation (e.g., DIFs, DWOs, LOAs).
  • Monitor and improve reimbursement processes and metrics such as days in A/R, denial rates, and collection effectiveness.
  • Review and ensure proper use of billing codes (HCPCS, CPT, ICD-10), NDC units, J-codes, and Place of Service.
  • Resolve escalated issues related to front-end denials, payer rejections, and complex reimbursement discrepancies.
  • Oversee setup and maintenance of payers in the billing system.
  • Maintain up-to-date knowledge of Medicare, Medicaid, commercial payer guidelines, and specialty pharmacy/home infusion billing requirements.
  • Coordinate billing and follow-up for third-party payers, co-pay assistance programs, foundations, and manufacturer support programs.
  • Oversee documentation for refunds to payers or patients and coordinate payment information with cash posting staff.
  • Audit delivery tickets and ensure eligibility for financial assistance programs.
  • Review and approve patient hardship waivers; maintain tracking and documentation.
  • Compile and analyze reimbursement reports for leadership and make recommendations for improvement.
  • Train and support staff on billing procedures, system updates, and payer changes.
  • Ensure compliance with all federal, state, and local billing regulations.
Qualifications:

Required:

  • Bachelor’s degree in Healthcare Administration, Finance, or related field; or equivalent experience/certification (Medical Billing Certificate acceptable).
  • 5+ years of medical billing or reimbursement experience, preferably in home infusion or specialty pharmacy.
  • Strong understanding of coding (CPT, HCPCS, ICD-10), insurance claim submission, and billing workflows.
  • Knowledge of federal/state billing guidelines, including Medicare and commercial payer requirements.
  • Experience with electronic claim transmissions, clearinghouses, and denial management.
  • Proficiency in Microsoft Excel, Word, Outlook.
  • Strong math skills, including unit conversions (e.g., grams to milligrams).
  • Excellent communication, problem-solving, and organizational skills.
Preferred:

  • Knowledge of home infusion, specialty infusion, and pharmacy billing practices.
  • Experience with reimbursement support programs and co-pay assistance.
  • Familiarity with HCFA 1500 claim requirements.
  • Prior supervisory or leadership experience in a billing/reimbursement setting.
Working Conditions:

  • Must be able to work flexible hours as needed based on business demands.