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Reimbursement Representative Jobs (NOW HIRING)

Eversana

Reimbursement Specialist

Mason, OH · On-site

$18 - $25/hr

The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required. * Strong pharmacy reimbursement experience, especially understanding of ...

EVERSANA

Reimbursement Specialist

Mason, OH

$18 - $25/hr

The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required. * Strong pharmacy reimbursement experience, especially understanding of ...

LUX Infusion

Reimbursement Specialist

Overland Park, KS · On-site

$23 - $27/hr

We're looking for a Reimbursement Specialist who brings care, precision, and accountability to ... Pay Range/Rate $23-$27 USD PHYSICAL DEMANDS The physical demands described here represent those ...

LUX Infusion

Reimbursement Specialist

Overland Park, KS · Hybrid

$23 - $27/hr

We're looking for a Reimbursement Specialist who brings care, precision, and accountability to ... Pay Range/Rate $23--$27 USD PHYSICAL DEMANDS The physical demands described here represent those ...

EVERSANA

Reimbursement Specialist

Mason, OH · On-site

$18 - $25/hr

The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required. * Strong pharmacy reimbursement experience, especially understanding of ...

Medix

Reimbursement Specialist

Grand Rapids, MI · On-site

$24 - $27/hr

The actual posting represents a position at one of our clients. Job Summary Our client is seeking a dedicated Reimbursement Specialist to manage and optimize the revenue cycle. The primary ...

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Reimbursement Representative information

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How much do reimbursement representative jobs pay per hour?

As of Jul 5, 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
Reimbursement Specialist

Reimbursement Specialist

Prompt Care Companies Inc

New Providence, NJ • On-site

$20.25 - $28/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 hours ago

Job description

Job Type
Full-time
Description
PromptCare seeks a highly motivated, experienced, and detail-oriented Reimbursement Specialist to join our AR Infusion team. The ideal candidate will have experience in infusion reimbursement and be able to work in a fast-paced environment. The Specialist will be responsible for all patient billing and collections and must be proficient in all phases of insurance data collection, verification, and authorization. Documentation and computer input of the new referral and subsequent patient admission from start to finish is critical and must always follow PromptCare's policies and procedures. If you are a detail-oriented individual with a passion for healthcare billing and collections, we encourage you to apply for this exciting opportunity in the Homecare Infusion industry. To learn more about our company and services, please visit us at https://www.promptcare.com/
Reporting to: Departmental Supervisor or Manager
Job Type: Full-time, 40 hours per week, Monday-Friday, flexible eight (8) hour shifts earliest starting at 8:00am
Location: Hybrid out of New Providence, NJ
Requirements
  • High School Diploma or equivalent
  • 2-3 years of experience in electronic claims submission and medical collections preferred
  • Working knowledge of insurance plans including Medicare and Medicaid required
  • Industry experience with billing/collections in DME, home infusion and/or enteral preferred
  • Accounts receivable and accounting experience preferred
  • Knowledge of CPR+ and/or Caretend software preferred

Job Responsibilities, included but not limited to:
  • Collections of third-party payor accounts for assigned payers
  • Ensure proper follow-up is performed on all aspects of the revenue cycle related to reimbursement, including projects, problem and issues escalation, denials management and research
  • Maintain and update shared documentation to assist Intake Team with the various policies, rules and limitations for insurance plans
  • Identify adjustments, payment trends and denials and ensure problems are escalated as necessary
  • Maintain confidentiality in all aspects of patient care, employee activities and office environment
  • Communicate changes regularly or as often as needed
  • Work collaboratively with other department staff such as Intake & Reauthorization Specialist to ensure timely collections
  • Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes
  • Field and troubleshoot calls from patients regarding benefit, claims and patient balances
  • Pro-actively seek resolutions to any billing issues that may arise
  • Perform CPR+/Caretend related transactions accurately and timely
  • Perform other duties as assigned

Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. The employee frequently is required to stand and walk, ability to lift files, open filing cabinets and bend or stand as necessary. This position may require the ability to occasionally lift office products and supplies, of 20-35 pounds.
Benefits & Perks:
  • Comprehensive Medical, Dental, and Vision Package
  • 401(k) Plan with Company Match
  • Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
  • Life Insurance: Standard coverage with optional enhancements
  • Employee Assistance Program: Free counseling and coaching sessions
  • Emotional Well-being and Work-Life Balance Resources
  • Short & Long-Term Disability: Company-paid with optional supplements
  • Accidental Death and Dismemberment Insurance
  • FSA and HSA: Manage healthcare expenses
  • Commuter Spending Programs
  • Volunteer and Engagement Opportunities
  • Employee Referral Bonuses
  • Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans

Equal Employment Opportunity
The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.
Salary Description
Hourly

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