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Reimbursement Representative Jobs (NOW HIRING)

JOB SUMMARY Reimbursement Representative is responsible for reviewing Accounts Receivable credit balances and recommending refunds where appropriate and submitting adjustments as necessary. The ...

JOB SUMMARY Reimbursement Representative is responsible for reviewing Accounts Receivable credit balances and recommending refunds where appropriate and submitting adjustments as necessary. The ...

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... Reimbursement Specialist, Patient Account Rep, Patient Financial Representative, Medical Scheduler, Reimbursement Representative, Reimbursement Specialist, Coding, Patient Access, Patient Admitting ...

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... Reimbursement Specialist, Patient Account Rep, Patient Financial Representative, Medical Scheduler, Reimbursement Representative, Reimbursement Specialist, Coding, Patient Access, Patient Admitting ...

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... Medical Reimbursement Specialist, Patient Account Rep, Patient Financial Representative, Reimbursement Representative, Reimbursement Specialist, Claims Processing, Payment Poster, and Claims ...

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Reimbursement Representative information

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How much do reimbursement representative jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for reimbursement representative in the United States is $19.91, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $21.39 per hour, depending on experience, location, and employer.

What is a Reimbursement Representative?

A Reimbursement Representative is a professional who manages the process of obtaining payment for medical services from insurance companies, government programs, and patients. They handle claims submission, follow up on denied or unpaid claims, and ensure that healthcare providers receive appropriate reimbursement for their services. Their role often involves reviewing patient accounts, verifying insurance coverage, and communicating with payers to resolve billing issues. Reimbursement Representatives play a critical part in the financial health of healthcare organizations by minimizing unpaid claims and maximizing revenue.

What is the difference between Reimbursement Representative vs Claims Processor?

AspectReimbursement RepresentativeClaims Processor
CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsHigh school diploma or equivalent; familiarity with insurance policies often preferred
Work EnvironmentHealthcare offices, insurance companies, hospitalsInsurance companies, healthcare facilities, administrative offices
Job FocusAssisting patients with reimbursement issues, verifying insurance coverage, explaining benefitsReviewing and processing insurance claims, ensuring accuracy and compliance

Reimbursement Representatives primarily focus on helping patients navigate insurance reimbursements and verifying coverage, while Claims Processors handle the detailed review and processing of insurance claims. Both roles require knowledge of insurance policies and work in healthcare or insurance settings, but their daily tasks differ. Understanding these distinctions can help job seekers find the right position aligned with their skills and career goals.

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

To thrive as a Reimbursement Representative, you need a strong understanding of medical billing, insurance policies, and healthcare reimbursement procedures, typically supported by experience or training in healthcare administration. Familiarity with claims management software, electronic health records (EHR) systems, and knowledge of coding standards like ICD-10 and CPT is crucial. Excellent attention to detail, problem-solving skills, and effective communication are important soft skills for resolving billing issues and supporting patients. These competencies are essential to ensure accurate claims processing, timely reimbursements, and high-quality service for both healthcare providers and patients.

How does a Reimbursement Representative typically collaborate with healthcare providers and insurance companies?

As a Reimbursement Representative, you will frequently interact with both healthcare providers and insurance companies to ensure accurate and timely processing of claims. Your responsibilities often include verifying patient insurance coverage, submitting claims, resolving discrepancies, and following up on denied or delayed payments. Effective communication skills are essential, as you'll need to negotiate, clarify billing information, and advocate for both the patient and your organization. Collaboration is usually structured through regular calls, emails, and meetings, making teamwork and relationship-building key components of the role.
More about Reimbursement Representative jobs
What cities are hiring for Reimbursement Representative jobs? Cities with the most Reimbursement Representative job openings:
Infographic showing various Reimbursement Representative job openings in the United States as of May 2026, with employment types broken down into 83% Full Time, 16% Part Time, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $41,423 per year, or $19.9 per hour.
Reimbursement Rep

Full-time

Posted yesterday


Job description

JOB SUMMARY

Reimbursement Representative is responsible for reviewing Accounts Receivable credit balances and recommending refunds where appropriate and submitting adjustments as necessary. The Reimbursement Representative reviews insurance company requests for refunds and determines their validity and handles accordingly. Also, assists with posting adjustments submitted by other units.

JOB REQUIREMENTS

Minimum Education

  • High School Diploma

Minimum Work Experience

  • 2 years of experience in insurance, billing, or collections

Required Licenses/Certifications

Required Skills, Knowledge, and Abilities

  • Knowledge of medical practices, terminology, and reimbursement policies.
  • Knowledge of managing medical and administrative staff.
  • Skill in planning, organizing, delegating, and supervising.
  • Skill in evaluating the effectiveness of existing methods and procedures.
  • Skill in problem solving.
  • Skill in verbal and written communication.
  • Ability to read, interpret and apply policies and procedures.
  • Ability to set priorities among multiple requests.
  • Ability to interact with patients, medical and administrative staff, and the public effectively.