Reimbursement Specialist Jobs
Reimbursement Specialist jobs are open across healthcare, insurance, and revenue cycle management, from entry-level billing roles to senior and lead positions, with specializations in medical coding, insurance claims, and denial management. Find a role that fits from the openings below and apply directly.
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Centurion is proud to be a leading provider of comprehensive healthcare services to correctional facilities, state hospitals, and community mental health centers nationwide.
We are currently seeking a full-time Provider Reimbursement Specialist to join our Corporate Team.
The Provider Reimbursement Specialist maintains relationships with physicians, hospitals, ancillary providers and Health Net’s internal Provider Network Management Dept. Acts as first line contact for providers/hospitals on claims projects and other non-routine claim issues. Oversees, in conjunction with the Adjustment and New Day Unit Supervisors, resolution of project issues and is responsible to communicate final resolution to the provider/hospital or other business units and/or managers, as needed and/or as required. Assists with policy and procedure interpretation. Researches, analyzes and resolves complex problems with claims development and finalization
- Assists with complex claim issues and acts as the first line contact for providers on large projects and non
- routine claim issues.
- Manages projects in conjunction with assigned adjusters and/or regional units for research, analysis and resolution. Responds directly to the providers with final resolution of the issues, up to and including: root cause documentation/feedback, necessary corrective action plans and/or process improvement initiatives.
- Conducts routine periodic site visits to providers/physicians/facilities. Participates with Network Management in Joint Operating Committee (JOC’s).
- Coordinates with Provider Network and Provider Data Management for contract data corrections. Identifies and reports to Provider Network Management contracting opportunities with problematic provider contracts based on root cause analysis.
- Interprets Health Net’s Policy and Procedures as it relates to claim issues, providing interpretation and clarification on contracts and benefits. Coordinates with Provider Network Management (PNM) if unable to resolve with provider and internal departments.
- Participates in process improvement activities working directly with the process improvement team to report root causes and facilitates corrective actions as needed.
-
Prepares monthly reports to management to document issues, action plans, and resolutions of quality initiatives and provider relation improvement initiatives. Researches and responds to Shared Risk Discrepancies from Participating Provider Groups.
We offer excellent compensation and comprehensive benefits for our full-time team members including:
- Health, dental, vision, disability and life insurance
- 401(k) with company match
- Generous paid time off
- Paid holidays
- Flexible Spending Account
- Continuing Education benefits
- Much more...
Centurion is proud to be a leading provider of comprehensive healthcare services to correctional facilities, state hospitals, and community mental health centers nationwide.
We are currently seeking a full-time Provider Reimbursement Specialist to join our Corporate Team.
The Provider Reimbursement Specialist maintains relationships with physicians, hospitals, ancillary providers and Health Net’s internal Provider Network Management Dept. Acts as first line contact for providers/hospitals on claims projects and other non-routine claim issues. Oversees, in conjunction with the Adjustment and New Day Unit Supervisors, resolution of project issues and is responsible to communicate final resolution to the provider/hospital or other business units and/or managers, as needed and/or as required. Assists with policy and procedure interpretation. Researches, analyzes and resolves complex problems with claims development and finalization
- Assists with complex claim issues and acts as the first line contact for providers on large projects and non
- routine claim issues.
- Manages projects in conjunction with assigned adjusters and/or regional units for research, analysis and resolution. Responds directly to the providers with final resolution of the issues, up to and including: root cause documentation/feedback, necessary corrective action plans and/or process improvement initiatives.
- Conducts routine periodic site visits to providers/physicians/facilities. Participates with Network Management in Joint Operating Committee (JOC’s).
- Coordinates with Provider Network and Provider Data Management for contract data corrections. Identifies and reports to Provider Network Management contracting opportunities with problematic provider contracts based on root cause analysis.
- Interprets Health Net’s Policy and Procedures as it relates to claim issues, providing interpretation and clarification on contracts and benefits. Coordinates with Provider Network Management (PNM) if unable to resolve with provider and internal departments.
- Participates in process improvement activities working directly with the process improvement team to report root causes and facilitates corrective actions as needed.
-
Prepares monthly reports to management to document issues, action plans, and resolutions of quality initiatives and provider relation improvement initiatives. Researches and responds to Shared Risk Discrepancies from Participating Provider Groups.
We offer excellent compensation and comprehensive benefits for our full-time team members including:
- Health, dental, vision, disability and life insurance
- 401(k) with company match
- Generous paid time off
- Paid holidays
- Flexible Spending Account
- Continuing Education benefits
- Much more...
Reimbursement Specialist Jobs by Experience Level
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Find Reimbursement Specialist JobsReimbursement Specialist Job Market
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Science & Research
- Education
- Insurance
What Employers Look For
The qualifications that appear most often in reimbursement specialist jobs.
- Experience with medical billing software such as Epic, Meditech, or Athenahealth
- Knowledge of CPT, ICD-10, and HCPCS coding systems
- Familiarity with Medicare, Medicaid, and commercial insurance reimbursement rules
- Associate or bachelor's degree in health information management, business, or a related field
- Certified Professional Biller (CPB) or Certified Revenue Cycle Representative (CRCR) credential preferred
- Demonstrated experience managing insurance denials, appeals, and accounts receivable follow-up
Tips for Your Reimbursement Specialist Job Search
Tailor your resume to payer types
Reimbursement specialists work with government payers like Medicare and Medicaid or commercial insurers, and employers screen for the match. Identify which payer environment the job targets and mirror that language in your work history and skills sections.
Highlight denial management outcomes
Hiring managers care less about how many claims you processed and more about what happened when claims were denied. Describe specific steps you took to appeal, correct, and resubmit denials, and note the resolution rate you maintained.
List your coding and billing credentials prominently
Certifications like CPC, CPB, or CRCR carry real weight in reimbursement specialist screening. Put them in a dedicated credentials line near the top of your resume, not buried in a footer, so recruiters and applicant tracking systems catch them immediately.
Apply early to roles that fit
Migrate Mate lists reimbursement specialist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare for payer-specific scenario questions
Interviewers routinely ask how you handled a specific payer's prior authorization requirement or a coordination-of-benefits dispute. Walk in with two or three concrete examples tied to the payer mix the employer actually uses, which you can confirm from the job posting.
Negotiate using fee schedule knowledge
Your familiarity with contracted fee schedules and reimbursement rates is a quantifiable skill, so use it when discussing compensation. Reference the complexity of the payer contracts you managed to anchor conversations about your value beyond years of experience alone.
Reimbursement Specialist Jobs: Frequently Asked Questions
Which companies are hiring the most reimbursement specialists?
The companies hiring the most reimbursement specialists right now include サイネオス・ヘルス, Syneos Health Commercial Solutions, and Cencora, with the largest share of openings in Texas, Pennsylvania, and Tennessee, based on current listings on Migrate Mate as of September 2026. Health systems, insurance carriers, and revenue cycle management firms consistently account for the highest volume of postings.
How many reimbursement specialist jobs are remote?
About 83% of reimbursement specialist openings are fully remote or hybrid as of September 2026, making it one of the more flexible roles in healthcare administration. Sub-specialties focused on insurance billing, denial management, and accounts receivable follow-up tend to offer the highest share of remote and hybrid arrangements compared to roles that involve direct patient account coordination.
How do you become a reimbursement specialist?
Start by earning an associate or bachelor's degree in health information management, business administration, or a related field, then build hands-on experience in medical billing or coding. Earning a credential like the Certified Professional Biller or Certified Revenue Cycle Representative strengthens your application. Most entry-level roles expect familiarity with at least one major billing platform and a working knowledge of CPT and ICD-10 coding.
Can you get a reimbursement specialist job with little experience?
Yes, entry-level reimbursement specialist roles exist, and employers often hire candidates who completed a medical billing or coding program even without direct work history. Volunteering in a healthcare billing office, completing an externship through a certification program, or taking on a medical receptionist role that involves insurance verification can all provide the practical exposure that moves your application past the screening stage.
What does the reimbursement specialist interview process look like?
Most employers start with a phone screen focused on your billing software experience and knowledge of payer types, followed by one or two in-person or video rounds. You'll likely face scenario questions about how you handled a denied claim or resolved a coding discrepancy. Some employers include a short practical assessment testing your ability to interpret an explanation of benefits or identify a billing error before making an offer.
Where can I find and apply to reimbursement specialist jobs?
You can find and apply to reimbursement specialist jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your experience, payer background, and preferred work setting, then apply directly to each listing that fits.
See All 102+ Reimbursement Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
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