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Reimbursement Representative Jobs (NOW HIRING)

Addison Group

Reimbursement Specialist

Westchester, IL · Remote

$27/hr

Reimbursement Specialist - Liability Industry: Healthcare / Medical Billing Location: Westchester ... Respond to incoming calls from patients, attorneys, and insurance representatives, providing clear ...

Lux Infusion

Reimbursement Specialist

Garnet Valley, PA · On-site

$23 - $27/hr

Reimbursement Specialist Garnet Valley, Pennsylvania, United States See Your Work In A New Light ... represents a real person managing a complex condition -- and this role helps remove barriers so ...

RCIL

Reimbursement Specialist

Utica, NY · On-site

$36K/yr

Communicate timely and effectively with staff, participants, designated representatives, and brokers for necessary clarification when reviewing reimbursements. * Verify reimbursements against budgets ...

Numotion

Reimbursement Specialist

$19.75 - $27/hr

The Reimbursement Specialist will work to achieve cost effective accounts receivables performance ... The physical demands and work environment characteristics described here are representative of ...

LUX Infusion

Reimbursement Specialist

Overland Park, KS · On-site

$23 - $27/hr

Reimbursement Specialist At LUX Infusion, we're reimagining infusion care to be more human ... Pay Range/Rate $23 - $27 USD The physical demands described here represent those required for an ...

Addison Group

Reimbursement Specialist

Westchester, IL · Remote

$27/hr

Reimbursement Specialist - Liability Industry: Healthcare / Medical Billing Location: Westchester ... Respond to incoming calls from patients, attorneys, and insurance representatives, providing clear ...

LUX Infusion

Reimbursement Specialist

Garnet Valley, PA

$18.50 - $25.25/hr

We're looking for a Reimbursement Specialist who wants their work to mean something - someone who ... Every claim represents a real person managing a complex condition - and this role helps remove ...

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 ...

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 ...

EVERSANA Company

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 ...

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Reimbursement Representative information

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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 Specialist

Addison Group

Westchester, IL • Remote

$27/hr

Other

Medical, Dental, Vision, Retirement

Re-posted 10 days ago

Job description

Job Title: Reimbursement Specialist – Liability

Industry: Healthcare / Medical Billing

Location: Westchester, IL (Hybrid)

Assignment Type: Direct Hire

Pay: $22 – $26 / hour (up to $27/hour based on experience)

Work Schedule: Full-time, Monday–Friday with flexible start time between 6:30 AM – 8:30 AM

Benefits: This position is eligible for medical, dental, vision, and 401(k).

About The Company:

A well-established healthcare organization specializing in orthopedic and specialty medical services. The team is dedicated to delivering exceptional patient care while maintaining efficient and accurate revenue cycle operations.

Job Description:

The Reimbursement Specialist is responsible for managing liability accounts receivable, including working with attorneys and insurance carriers to resolve claims efficiently. This role requires strong analytical skills, persistence in follow-ups, and the ability to clearly communicate billing information. The position offers a hybrid work arrangement with occasional in-office responsibilities.

Key Responsibilities:

  • Respond to incoming calls from patients, attorneys, and insurance representatives, providing clear account guidance
  • Track and follow up on outstanding liability claims to ensure timely payment
  • Maintain thorough documentation of account activity for compliance and tracking purposes
  • Review and reconcile account balances, ensuring accuracy based on fee schedules and agreements
  • Compile and submit required documentation to support claim processing
  • Investigate claim denials and coordinate appeals with appropriate supporting information
  • Explain billing statements and insurance coverage details in a professional and understandable manner
  • Communicate with insurance carriers to resolve unpaid or delayed claims
  • Support additional tasks and projects as needed

Qualifications:

  • Minimum of 3 years of primary liability accounts receivable or collections experience
  • Experience working with major liability payors (e.g., auto insurance carriers)
  • Strong understanding of revenue cycle processes, preferably within orthopedics or related specialties
  • Knowledge of medical billing components such as procedures, modifiers, and claim requirements
  • Experience negotiating with attorneys or legal representatives
  • Familiarity with practice management systems (Athena experience preferred but not required)
  • High school diploma or GED required

Additional Details:

  • Onsite training required for approximately 2–3 weeks (based on individual progress)
  • Hybrid role with occasional in-office requirements (approximately twice per month or as needed)
  • Candidates must reside within a reasonable commuting distance to the office
  • Dedicated work-from-home setup required
  • Professional attire expected during onsite work

Perks:

  • Flexible start times for improved work-life balance
  • Hybrid work model with remote flexibility
  • Opportunity to work in a fast-paced, collaborative environment
  • Exposure to complex liability claims and advanced revenue cycle processes
  • Career growth potential within a specialized healthcare setting
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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