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Remote Reimbursement Analyst Jobs (NOW HIRING)

Ensign Services

Accounting Reimbursement Analyst II

Dallas, TX · On-site +1

$59K - $77K/yr

Accounting Reimbursement Analyst II Position Type: Full Time, non-exempt employee. Compensation ... remote). About the Company: Ensign Services, Inc. ("ESI") is a subsidiary of The Ensign Group, Inc ...

Corvel

Payment Integrity Analyst II

Fort Worth, TX · Remote

$66K - $101K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Reviews, analyzes, and ... Knowledge of CMS/commercial payer policies, claims processing and reimbursements, IDC-10 Coding ...

Corvel

Payment Integrity Analyst II

Fort Worth, TX · Remote

$66K - $101K/yr

This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: * Reviews, analyzes, and ... Strong understanding of healthcare revenue cycle and claims reimbursement * Proficient in Microsoft ...

CERiS

Payment Integrity Analyst II

Fort Worth, TX · Remote

$66K - $101K/yr

This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: * Reviews, analyzes, and ... Strong understanding of healthcare revenue cycle and claims reimbursement * Proficient in Microsoft ...

Pacs

This position is responsible for executing senior-level reimbursement analysis while actively ... In-Office (SLC) preferred, or fully remote for candidate outside of the UT Market Join PACS:

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How much do remote reimbursement analyst jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote reimbursement analyst in the United States is $32.54, according to ZipRecruiter salary data. Most workers in this role earn between $25.72 and $37.74 per hour, depending on experience, location, and employer.

What does a remote reimbursement analyst do?

A Remote Reimbursement Analyst is responsible for reviewing, analyzing, and processing healthcare claims to ensure correct payment and compliance with insurance policies and regulations. They work from a remote location, often communicating with healthcare providers, payers, and patients to resolve billing issues and discrepancies. Their role involves interpreting billing codes, auditing claims, and ensuring that reimbursement practices follow federal and state guidelines. By doing so, they help healthcare organizations optimize revenue while minimizing errors and denials.

What are some typical challenges faced by remote reimbursement analysts, and how can they be addressed?

Remote Reimbursement Analysts often encounter challenges such as navigating complex insurance policies, keeping up with frequent changes in reimbursement regulations, and ensuring accuracy when processing claims without direct in-person collaboration. To address these, analysts can leverage robust communication tools to stay connected with their team, participate in ongoing training to keep up-to-date with policy changes, and utilize specialized software designed to streamline claims management. Proactive organization and regular check-ins with supervisors or colleagues can also help maintain accuracy and efficiency in a remote environment.

What are the key skills and qualifications needed to thrive as a remote reimbursement analyst, and why are they important?

To thrive as a Remote Reimbursement Analyst, you need strong analytical skills, a solid understanding of healthcare reimbursement processes, and typically a degree in health administration, finance, or a related field. Expertise with claims management systems, medical billing software, and knowledge of payer regulations such as Medicare and Medicaid is often required. Excellent attention to detail, problem-solving abilities, and clear communication are essential soft skills for success in this remote role. These competencies ensure accurate claims processing, compliance with regulations, and effective communication with stakeholders, ultimately supporting the financial health of the organization.

What is the difference between Remote Reimbursement Analyst vs Remote Claims Specialist?

AspectRemote Reimbursement AnalystRemote Claims Specialist
Required CredentialsHealthcare-related certifications, knowledge of insurance policiesInsurance or healthcare certifications, claims processing knowledge
Work EnvironmentRemote, healthcare or insurance companiesRemote, insurance companies or healthcare providers
Industry UsageHealthcare, insurance reimbursementInsurance, healthcare claims processing

The Remote Reimbursement Analyst and Remote Claims Specialist roles share similarities in credentials and work environment, often working remotely within healthcare or insurance sectors. The main difference lies in their focus: reimbursement analysts primarily handle reimbursement processes and policy compliance, while claims specialists focus on processing and adjudicating insurance claims. Both roles require strong knowledge of insurance policies and healthcare regulations, making them closely related but distinct in their daily responsibilities.

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Remote Reimbursement Analyst jobs near you
Infographic showing various Remote Reimbursement Analyst job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $67,679 per year, or $32.5 per hour.

Senior Reimbursement Analyst

Essentia Health

Fargo, ND • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement

This job post has expired today. Applications are no longer accepted.

Essentia Health rating

7.0

Company rating: 7.0 out of 10

Based on 212 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers

Job description

Building Location:
Fargo Distribution Serv Center
Department:
1007070 GOVERNMENT REIMBURSEMENT - EH SS
Job Description:
The Senior Government Reimbursement Analyst is responsible for the accuracy, reporting and compliance of over $1 billion of government payer reimbursement. Provides support to the Reimbursement Senior Manager to ensure accuracy and maximization of government payer reimbursement. Responsible for preparing accurate and timely Medicare and Medicaid Cost Reports, Medicaid DSH surveys and other agency surveys on an annual basis. Prepares various reimbursement analyses, reviews, rate calculations, and provides support for various government audits. Verifies and analyzes interim rate calculations and final settlements by third party payers for accuracy. Investigates changes in reimbursement and communicates potential impacts to reimbursement by staying current on government and regulatory changes.
Education Qualifications:
Required Qualifications:
  • Requires a Bachelor's Degree in Accounting, Finance or related field
  • Requires minimum 5 years work experience in the healthcare field
  • Required minimum 5 years work experience with various Medicare Cost Reports
  • Knowledge of Medicare and Medicaid reimbursement regulations and reporting requirements
  • Experience working with Excel and electronic cost reporting software required

Essential Functions and Accountabilities:
  • Coordinates and compile Medicare, Medicaid and other third-parties annual cost reports, as required by current regulations, including the development, implementation, and maintenance of time studies, statistics (both utilization and cost allocation), and revenue and expense information for entities within the Essentia Health System.
  • Provide independent peer review of cost reports, identifying discrepancies, recommending corrections, and ensuring audit readiness
  • Coordinate audits of Cost Reports or other information as required by Medicare and other payers.
  • Analyzes impact of audit adjustments and confirms audit issues are consistent with Medicare/Medicaid regulations.
  • Coordinates updates to Cost Report software; ensures accuracy of information, ensures updates are incorporated.
  • Identify Medicare, Medicaid or other reimbursement issues that should be appealed, recommend appropriate outside resources for pursuing appeals, monitor the process to ensure that appeals or exception request are filed in a timely manner, and follow-up to ensure timely resolution.
  • Reviews rate calculations for accuracy and maximization of revenue. Prepares appeals as necessary.
  • Complete Critical Access Hospital (CAH) and Rural Health Clinic (RHC) monthly templates and recommend appropriate journal entries
  • Evaluate financial impact of regulatory changes on reimbursement.
  • Complete on-going evaluations of hospital and clinic designations to optimize reimbursement under current regulations
  • Responsible for preparing the Tricare/Champus reimbursement requests for capital and education costs and ad hoc reporting as needed.
  • Develops and maintains appropriate documentation for interns and resident tracking, wage index and occupational mix reporting to the Medicare program.
  • Reconciles all reimbursement settlement accounts and reviews interim rates and pass through payments monthly.
  • Assists with the completion of attestations for provider-based clinics or rural health clinic designations.
  • Partner with revenue cycle, finance, and operational teams to improve financial performance
  • Assists System Manager in development of policies, procedures, reports, and other tools to improve work product.
  • Strong analytical reasoning, critical thinking, judgement and problem solving skills in order to independently assess, interpret, and address complex issue in a continually changing environment.
  • Performs Essentia-wide duties as requested by the designated Essentia leader.
  • Upholds Essentia Health's mission, vision, values and ethical standards and demonstrate the behavioral and service expectations as defined in our policies and procedures.

You might be a good fit if you...
  • Have hands-on experience compiling Medicare and/or Medicaid cost reports.
  • Understand CMS rules and government reimbursement requirements and enjoy applying them to real-world reimbursement work.
  • Have worked in a hospital, health system, Medicare Administrative Contractor, or healthcare reimbursement consulting environment.
  • Are familiar with areas such as CAH, RHC, PPS, DSH, IME/GME, wage index, provider-based clinics, or cost settlements.
  • Enjoy detailed analytical work where accuracy directly impacts reimbursement and compliance.
  • Can manage multiple deadlines and stay organized during busy reporting seasons.
  • Communicate clearly and comfortably with finance, revenue cycle, operations, auditors, and leadership.

Remote Nature:
  • This is a fully remote role
  • Position functions in Central Standard Time (CST)

Licensure/Certification Qualifications:
FTE:
1
Possible Remote/Hybrid Option:
Remote
Shift Rotation:
Day Rotation (United States of America)
Shift Start Time:
Shift End Time:
Weekends:
Holidays:
No
Call Obligation:
No
Union:
Union Posting Deadline:
Compensation Range:
$84,364.80 - $126,547.20
Employee Benefits at Essentia Health:At Essentia Health, we're committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.

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About Essentia Health

Sourced by ZipRecruiter

Headquartered in Duluth, Minnesota, Essentia Health combines the strengths and talents of 13,500 employees, including 3,500 registered nurses & licensed practical nurses, who serve our patients and communities through the mission of being called to make a healthy difference in people's lives. Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Joy, Justice, Stewardship and Teamwork. The organization lives out its mission by having a patient-centered focus at 14 hospitals, 70 clinics, six long-term care facilities, three assisted living facilities, three independent living facilities, five ambulance services and one research institute.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Duluth, MN, US

Year founded

2004

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