Remote Reimbursement Specialist Jobs
Remote Reimbursement Specialist jobs are in active demand across the U.S., with remote-first firms and distributed healthcare, insurance, and revenue cycle teams hiring consistently. Employers hiring remotely right now include Erlanger, Merit Medical, and Veracyte. Find a role that fits below and apply directly.
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CareDx is a leading precision medicine diagnostics company advancing care in transplant, specialty oncology, and cell therapy. Through our innovative portfolio of molecular diagnostics, digital health solutions, AI-powered data and analytics, and patient support services, we partner with healthcare providers, patients, and biopharma organizations to help inform clinical decision-making and improve patient outcomes.
The primary responsibility of the Insurance Reimbursement Specialist is to maximize reimbursement by collecting outstanding balances from insurance companies. The Specialist will maximize collections by following up on unresolved claims and appeals, and by escalating claims for reconsiderations and up to three levels of appeals. The Specialist will work closely with the CareDx Payer Dispute Resolution and Market Access teams to ensure CareDx receives coverage and appropriate reimbursement from contracted and non-contracted payers and government health plans.
This role requires meticulous work and the ability to thrive in a fast-paced environment. This is a full-time position, Monday through Friday, with occasional overtime as needed. Candidates within commuting distance of the Brisbane, California office will need to come to the office on a regular basis; remote candidates will work and collaborate from home.
Responsibilities:
1. Claim Follow-up:
- Resolve aged claims and appeals without payer responses via payer portals & outbound phone calls.
- Identify claims that need a first, second, or third level appeal.
- Assist teammates with projects and denial work queue management.
2. Denials and appeals:
- Prioritize an assigned work queue to ensure timely work is balanced with working the most payable claims.
- Identify non-payment trends and, in collaboration with Revenue Cycle leadership, escalate groups of claims to the CareDx Payer Dispute Resolution or Market Access teams.
- Investigate denial and non-payment trends identified by the Revenue Cycle Analytics team. Propose solutions and collaborate cross-functionally with the Denials Management Steering Committee.
- Share opportunities to improve upstream work to prevent denials.
- Work with patients when their assistance is needed in the appeal process.
- Work professionally with Revenue Cycle teammates to be responsive to requests that require your assistance.
Qualifications:
- Education: High school diploma or equivalent.
- Experience: 3-5 years' experience in medical billing; strong preference will be given to candidates with molecular laboratory billing experience. Medical billing experience may be substituted with a bachelor's degree.
- Understanding of patient protections under HIPAA and proper handling of protected health information (PHI).
- Working knowledge of health insurance and terminology.
- Excellent communication and people skills.
- Meticulous with strong analytical and problem-solving abilities.
Additional Details:
Every individual at CareDx has a direct impact on our collective mission to improve the lives of organ transplant patients worldwide. We believe in taking great care of our people, so they take even greater care of our patients.
Our competitive Total Rewards package for US Employees includes:
- Competitive base salary and incentive compensation
- Health and welfare benefits, including a gym reimbursement program
- 401(k) savings plan match
- Employee Stock Purchase Plan
- Pre-tax commuter benefits
- And more!
- Please refer to our page to view detailed benefits at https://caredx.com/company/careers
In addition, we have a Living Donor Employee Recovery Policy that allows up to 30 days of paid leave annually to a full-time employee who makes the selfless act of donating an organ or bone marrow.
With products that are making a difference in the lives of transplant patients today and a promising pipeline for the future, it's an exciting time to be part of the CareDx team. Join us in partnering with transplant patients to transform our future together.
CareDx, Inc. is an Equal Opportunity Employer-vets/disabled, and participates in the E-Verify program. By proceeding with our application and submitting your information, you acknowledge that you have read our U.S. Personnel Privacy Notice and consent to receive email communication from CareDx. Certain jurisdictions require notice of how we use and protect your personal information. For more information, please read our Privacy Policy
The U.S. EEO posters are available here.
Note: We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.
#LI-Remote
CareDx is a leading precision medicine diagnostics company advancing care in transplant, specialty oncology, and cell therapy. Through our innovative portfolio of molecular diagnostics, digital health solutions, AI-powered data and analytics, and patient support services, we partner with healthcare providers, patients, and biopharma organizations to help inform clinical decision-making and improve patient outcomes.
The primary responsibility of the Insurance Reimbursement Specialist is to maximize reimbursement by collecting outstanding balances from insurance companies. The Specialist will maximize collections by following up on unresolved claims and appeals, and by escalating claims for reconsiderations and up to three levels of appeals. The Specialist will work closely with the CareDx Payer Dispute Resolution and Market Access teams to ensure CareDx receives coverage and appropriate reimbursement from contracted and non-contracted payers and government health plans.
This role requires meticulous work and the ability to thrive in a fast-paced environment. This is a full-time position, Monday through Friday, with occasional overtime as needed. Candidates within commuting distance of the Brisbane, California office will need to come to the office on a regular basis; remote candidates will work and collaborate from home.
Responsibilities:
1. Claim Follow-up:
- Resolve aged claims and appeals without payer responses via payer portals & outbound phone calls.
- Identify claims that need a first, second, or third level appeal.
- Assist teammates with projects and denial work queue management.
2. Denials and appeals:
- Prioritize an assigned work queue to ensure timely work is balanced with working the most payable claims.
- Identify non-payment trends and, in collaboration with Revenue Cycle leadership, escalate groups of claims to the CareDx Payer Dispute Resolution or Market Access teams.
- Investigate denial and non-payment trends identified by the Revenue Cycle Analytics team. Propose solutions and collaborate cross-functionally with the Denials Management Steering Committee.
- Share opportunities to improve upstream work to prevent denials.
- Work with patients when their assistance is needed in the appeal process.
- Work professionally with Revenue Cycle teammates to be responsive to requests that require your assistance.
Qualifications:
- Education: High school diploma or equivalent.
- Experience: 3-5 years' experience in medical billing; strong preference will be given to candidates with molecular laboratory billing experience. Medical billing experience may be substituted with a bachelor's degree.
- Understanding of patient protections under HIPAA and proper handling of protected health information (PHI).
- Working knowledge of health insurance and terminology.
- Excellent communication and people skills.
- Meticulous with strong analytical and problem-solving abilities.
Additional Details:
Every individual at CareDx has a direct impact on our collective mission to improve the lives of organ transplant patients worldwide. We believe in taking great care of our people, so they take even greater care of our patients.
Our competitive Total Rewards package for US Employees includes:
- Competitive base salary and incentive compensation
- Health and welfare benefits, including a gym reimbursement program
- 401(k) savings plan match
- Employee Stock Purchase Plan
- Pre-tax commuter benefits
- And more!
- Please refer to our page to view detailed benefits at https://caredx.com/company/careers
In addition, we have a Living Donor Employee Recovery Policy that allows up to 30 days of paid leave annually to a full-time employee who makes the selfless act of donating an organ or bone marrow.
With products that are making a difference in the lives of transplant patients today and a promising pipeline for the future, it's an exciting time to be part of the CareDx team. Join us in partnering with transplant patients to transform our future together.
CareDx, Inc. is an Equal Opportunity Employer-vets/disabled, and participates in the E-Verify program. By proceeding with our application and submitting your information, you acknowledge that you have read our U.S. Personnel Privacy Notice and consent to receive email communication from CareDx. Certain jurisdictions require notice of how we use and protect your personal information. For more information, please read our Privacy Policy
The U.S. EEO posters are available here.
Note: We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.
#LI-Remote
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Find JobsRemote Reimbursement Specialist Job Market
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in remote 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 Remote Reimbursement Specialist Job Search
Apply early to remote roles that fit
Migrate Mate lists remote reimbursement specialist openings from across the U.S. in one place, so you can find roles that match your experience and apply directly without sorting through mixed results. Remote postings often fill faster than on-site ones, so applying early matters.
Show your billing platform fluency upfront
Remote reimbursement specialist hiring managers can't watch you work, so name the platforms you know, such as Availity, Waystar, or Meditech, in your resume summary and cover note. Concrete platform experience signals you won't need hand-holding from day one.
Demonstrate async communication in your application
Remote employers for this role want written communicators who can relay complex payer issues clearly without a phone call. Write your cover note the way you'd write an internal escalation memo: precise, organized, and self-contained. That alone differentiates you from candidates with identical credentials.
Prepare for remote-specific interview questions
Distributed reimbursement teams commonly ask how you track open claims without team check-ins, how you escalate a denial when a supervisor is unavailable, and what tools you use to stay organized. Prepare a specific example for each scenario before your interview.
Remote Reimbursement Specialist Jobs: Frequently Asked Questions
How do I get a remote reimbursement specialist job?
Remote reimbursement specialist roles go to candidates who can demonstrate self-direction and clear written communication from day one. Remote employers screen for familiarity with billing platforms like Availity or Waystar, the ability to manage denials and appeals without in-person support, and comfort working across asynchronous channels. Showing documented results from prior claims or reimbursement work gives you a concrete edge over candidates without remote experience.
Which companies hire remote reimbursement specialists?
Employers currently hiring remote reimbursement specialists include Erlanger, Merit Medical, and Veracyte, per current remote listings on Migrate Mate as of August 2026. Remote-first healthcare organizations, distributed insurance carriers, and multi-state revenue cycle management firms are the most consistent sources of fully remote openings for this role.
Can you get a remote reimbursement specialist job with no experience?
Yes, but remote entry-level reimbursement specialist roles are harder to land because employers expect you to troubleshoot billing issues independently without office support. Smaller remote-first billing companies and telehealth startups are more likely to hire early-career candidates. Completing a medical billing certificate, demonstrating proficiency in ICD-10 coding, and showing comfort with remote communication tools can open the door when direct experience is thin.
Do you need a degree for remote reimbursement specialist jobs?
Not always. Many remote employers prioritize hands-on billing experience, knowledge of payer-specific claim requirements, and familiarity with reimbursement software over a formal degree. A medical billing or coding certificate often carries as much weight as an associate degree for remote roles. What matters most to distributed teams is that you can produce accurate, timely results without daily supervision.
Which industries hire the most remote reimbursement specialists?
The sectors hiring the most remote reimbursement specialists are Healthcare & Medical Services, based on current remote listings on Migrate Mate as of August 2026. These industries rely on distributed reimbursement teams because claims processing, denial management, and payer follow-up can all be handled effectively without a shared physical office.
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