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Reimbursement Representative Jobs (NOW HIRING)

US Renal Care

Reimbursement Representative

Plano, TX · On-site

SUMMARY The Reimbursement Representative performs reconciliation and review of all outstanding Medicare/Commercial patient balances in accordance with US Renal Care reimbursement policies and ...

UWHealth

Reimbursement Representative

Middleton, WI · Hybrid

We are seeking a Reimbursement Representative to: * Follow up with third party payers and patients on outstanding account balances (including credit balances) to facilitate prompt resolution of ...

UW Health

Reimbursement Lead

Middleton, WI · On-site

$21.23 - $31.11/hr

We are seeking a Reimbursement Representative Lead to: * Be responsible for monitoring a large portfolio of account receivables and is engaged in proactive collection of outstanding balances.

UWHealth

Reimbursement Lead

Middleton, WI · Hybrid

We are seeking a Reimbursement Representative Lead to: * Be responsible for monitoring a large portfolio of account receivables and is engaged in proactive collection of outstanding balances.

UW Health

Reimbursement Lead

Middleton, WI · On-site

We are seeking a Reimbursement Representative Lead to: * Be responsible for monitoring a large portfolio of account receivables and is engaged in proactive collection of outstanding balances.

UW Health

Reimbursement Lead

Middleton, WI · On-site

We are seeking a Reimbursement Representative Lead to: * Be responsible for monitoring a large portfolio of account receivables and is engaged in proactive collection of outstanding balances.

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How much do reimbursement representative jobs pay per hour?

As of Aug 11, 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.
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Reimbursement Representative jobs near you
Infographic showing various Reimbursement Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 16% Part Time, and 9% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $41,423 per year, or $19.9 per hour.

Reimbursement Representative

US Renal Care

Plano, TX • On-site

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

U.S. Renal Care rating

6.7

Company rating: 6.7 out of 10

Based on 95 frontline employees who took The Breakroom Quiz

530th of 887 rated healthcare providers

Job description

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.

SUMMARY

The Reimbursement Representative performs reconciliation and review of all outstanding Medicare/Commercial patient balances in accordance with US Renal Care reimbursement policies and procedures.

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.

  • Reviews EOB/EOMB's for proper reimbursement.
  • Resolves electronic claim rejections and Explanation of Benefits denials in a timely manner.
  • Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment.
  • Follows up on unpaid/unresolved account balances, including claims rejected electronically, EOB denial and working A/R aging reports as directed. Provides insurance carriers with requested information to facilitate payment.
  • Regularly contacts Medicare, Medicaid and /or Commercial payors for resolution to claims not paid or claims not paid according to plan benefits.
  • Performs claim appeals as required.
  • Assists with credit balance resolution.
  • Completes re-bill request as necessary to facilitate timely and proper claims payment.
  • Follows up on unresolved account balances including RTP's.
  • Prepares adjustment and write-off requests as necessary.
  • Performs other duties and responsibilities as required or assigned.

Qualifications/Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Requirements include:

  • High School diploma or GED require
  • At least two years of experience in a health/medical billing and collection office.
  • Ability to use copier, fax machine, printer, calculator and multi-line telephone
  • Must be proficient with computers with an understanding of medical billing software
  • Advanced knowledge of medical terminology as well as knowledge of government and private insurer rules and regulations.
  • Advanced knowledge of CPT, ICD-9 and HCPCS coding as well as in-depth knowledge of medical billing requirements
  • Working knowledge of Microsoft Outlook, Word and Excel
  • Ability to utilize the internet, specifically Medicare and Medicaid websites
  • Maintain confidentiality in regard to HIPAA rules and regulations, as well as private company matters

What U.S. Renal Care employees say

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