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España
Role: Healthcare Reimbursement Specialist
Location: Remote
Employment Type: Full-time
Compensation: Competitive salary commensurate with experience, qualifications, and location. Indicative range: $55,000 – $85,000 (USD equivalent), plus benefits.
Role Overview
We are hiring a Healthcare Reimbursement Specialist to manage claims, denials, and payer relationships across the revenue cycle. The role combines coding fluency with payer expertise — making sure providers get paid accurately and on time.
Key Responsibilities
- Submit claims to payers and follow up through adjudication
- Investigate and appeal denied claims with strong supporting documentation
- Verify insurance eligibility, coverage, and prior authorisation requirements
- Maintain accurate billing data and reconcile payer remittance advice
- Stay current on coding (CPT, ICD-10, HCPCS) and payer policy changes
- Partner with providers and clinical staff on documentation improvements
Required Skills and Qualifications
- 3+ years in medical billing, coding, or revenue cycle operations
- Strong working knowledge of CPT,
ICD-10, and HCPCS coding
- Familiarity with EHR and practice management systems (Epic, Athena, Kareo, AdvancedMD)
- Experience with payer portals and clearinghouse workflows
- Excellent attention to detail and documentation discipline
- Coding certification (CPC, CCS, CRC) is a plus
What You'll Bring
- Genuine commitment to patient outcomes and care quality
- Clear written and verbal communication across clinical and non-clinical teams
- Strong attention to compliance, documentation, and confidentiality
- Comfort working asynchronously across time zones
What We Offer
- Fully remote, versátil work hours
- Performance-based bonus structure
- Annual learning & development stipend
- Health and wellness benefits (varies by location)
- Opportunity to work on high-scale, real-world impact projects
Equal Opportunity Statement
This is an equal opportunity role. Applications are welcomed from all q
📌 Healthcare Reimbursement Specialist (España)
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