Medical Reimbursement Specialist Jobs in the United States
Inland Regional Center
$24.0366
SAN BERNARDINO, CA
Accurately calculate payment from vendorized rates, Schedule of Maximum Allowance (SMA), Current Procedural Terminology (CPT) or negotiated rate, and/or bill for third party payments, proportionate cost, and absences. Verify level of supervision with rate tools; verify source of fund (SOF) information, payee status, and ensure SOF amounts cover basic cost of care.
Jobot
$18 - $20
Columbia, MD
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This position focuses on end-to-end billing and collections, working closely with internal teams and clients to ensure invoices are accurate, submitted timely, and collected efficiently.
University Health
SAN ANTONIO, TX
Creates, expand and maintains computerized databases to support patient enrollment in assistance programs and tracks case specific assistance provided in response to reimbursement denials. Three years experience in a medical or pharmacology related field to include project coordination; database/spreadsheet development and management; and/or application programming; processing and overseeing medical insurance billing and reimbursement cost capture is preferred.
Grifols
Milwaukee, WI
Educated and currently certified/licensed in the state of employment and according to state requirements as a Registered Nurse, Licensed Practical Nurse, Licensed Vocation Nurse, Paramedic, or Emergency Medical Technicians. Third Party Agency and Recruiter Notice: Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department.
Reliance Savings Bank
$17 - $19
Altoona, PA
This position requires the ability to remain in a stationary position for long periods of time, with ongoing need to move about the immediate workspace or to other areas of the department to accomplish tasks. Constant use of repeated motions involving the hands, wrists and fingers is required, as well as an ability to observe details at close range throughout the day.
CAN Community Health
$21 - $24
Miami, FL
Fosters and assists in developing new community partnerships through the establishment of BRTA/FRTA agreements, other informal agreements, as well as formal agreements, including Memorandums of Agreement/Understanding and Business Associate Agreements under the supervision of the HIV Prevention Program Manager and Prevention Team Lead. Serves as a representative of CAN Community Health and conducts community-based outreach in various settings including but not limited to shelters, bars, inpatient centers, resource centers, parks etc.
Inizio Engage
Charlottesville, VA
Our passionate, global workforce augments local expertise and diverse mix of skills with data, science, and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers, people and providers to improve treatment outcomes. Engage healthcare providers and appropriate office staff to educate on access to prescribed treatments within the specialty pharmacy and HUB channel, including addressing questions about initial access, insurance approval and reauthorizations pertaining to the initiation of product.
Presbyterian Healthcare Services
$30 - $45.82
Albuquerque, NM
Presbyterian Hospital is seeking a skilled Cardio Invasive Technologist to support and assist with complex cardiovascular procedures—including cardiac catheterizations, angioplasties, and electrophysiology studies—while working side‑by‑side with experienced cardiologists and a dedicated clinical team. In this role, you’ll provide essential technical and patient‑care support during diagnostic and interventional procedures, help oversee key subspecialty operations, and contribute to accurate hemodynamic recording, reporting, and Heart Program data management.
Ascension
Wichita, KS
Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Via Christi associates are eligible for tuition discounts and priority placement in select healthcare programs through our academic partnership with Wichita State University.
CNY Family Care, LLP
$22 - $28
East Syracuse, NY
The Medical Coder and Auditor will be responsible to conduct prospective audits of coding and billing; analyze physician and provider documentation in outpatient office health records; correct evaluation and management (E/M) service levels, appropriate procedure codes, and any necessary modifiers. Certified Professional Coder (CPC), Certified Coding Specialist-Physician-based (CCS-P), Certified Outpatient Coder (COC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required.
Presbyterian Healthcare Services
$30 - $45.82
Albuquerque, NM
Functions as a Scrub Technologist, Monitoring/Recording Technologist: to include Adult Cardiac Catheterization, Cardiac Devices, Vascular Catheterization, Pediatric Cardiac Catheterization, Electrophysiology, NeuroIntervention and/or Structural Heart. Prepares and maintains hybrid suite equipment (biplane/angiography systems, fluoroscopy), ensuring sterile technique, assisting the procedural team, and supporting patient and staff safety during emergent and scheduled cases.
Ascension
Derby, KS
Rapid Response & Assessment: You’ll carry the stroke phone, responding immediately to Code Stroke Alerts in the ER and in-house to perform assessments and expedite life-saving diagnostics and treatments. Patient Advocacy & Education: You will guide patients and their families through the complexities of a stroke diagnosis, providing the education and clarity they need for a successful recovery.
Biolife Plasma Services
$23.85 - $32.79
Fond Du Lac, WI
The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE). .
Gables Search Group
$22 - $25
Burr Ridge, IL
Utilize EHR/EMR systems, billing platforms, and clearinghouses to process and track claims; troubleshoot clearinghouse rejections or errors. If you are a motivated and skilled Claims Integrity Specialist with a passion for accuracy, compliance, and improving revenue cycle performance, we encourage you to apply and become part of our growing team.
ChristianaCare
$100152 - $160243.2
Newark, DE
ChristianaCare includes an extensive network of outpatient services, home health care, urgent care centers, three hospitals (1,450 beds), a free-standing emergency department, a Level I trauma center, a Level III neonatal intensive care unit, a comprehensive stroke center, and regional centers of excellence in heart and vascular care, cancer care, and women’s health. Exceptional Work/Life balance benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets, and much more!
Ford Motor Company
$96720 - $162120
Marshall, MI
Coordinate Engineering BOM (eBOM) to Production BOM (pBOM) conversion, ensuring accuracy, manufacturability, and seamless integration into production systems. Final determination of salary grade will be based on candidate's skills and experience, and base salary will be set within the applicable range according to job scope, responsibility and competitive market value.
Biolife Plasma Services Careers
$23.85 - $32.79
Fond Du Lac, WI
The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE).
Care-One
$93000 - $99000
Peabody, MA
The MDS/Clinical Reimbursement Coordinator will be responsible for, but not limited to: Direct the Resident Assessment Process through assisting with the completion of the Minimum Data Set (MDS) and CAA's. Participate in developing individualized resident Care Plans, identifying the needs of the resident and projected outcomes as required by Federal and State regulations.
CornerStone Staffing
$18.5 - $19.5
Irving, TX
Position Overview: The Dental Claims Resolutions Specialist supports revenue cycle operations within a dental services environment by coordinating with insurance carriers to resolve outstanding dental claims. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners.
Jobot
$25 - $29
Los Angeles, CA
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations.
CornerStone Staffing
$24.45 - $26.19
Irving, TX
The Provider Enrollment Specialist ensures healthcare providers are properly enrolled and credentialed with Medicare, Medicaid, and managed care organizations to enable compliant and timely reimbursement. This role supports billing system administration, provider data management, and payer communication to maintain continuity of billing operations and cash flow.
Goodwin Brothers Construction Company
$1
St. Louis, MO
The Payroll Specialist also prepares payroll related reports and ensures compliance with federal, state, local, and union regulations while handling all payroll matters with the highest level of discretion. This role oversees all payroll related activities, including employee setup, timesheet review, payroll processing, tax reporting, union and certified payroll reporting, and year-end documentation.
Commonwealth Central Credit Union
$30.25 - $37.8
San Jose, CA
Responsible for executing and optimizing digital campaigns, managing member communications, and leveraging tools such as the website, social media, email platform, CRM, and online banking systems to deliver meaningful and seamless digital experiences. Help maintain a user-friendly, high performing website, optimize digital channels, and execute coordinated marketing campaigns that drive brand awareness, engagement, member growth, and product acquisition.
Aveanna Healthcare
Marion, IA
See Aveanna Healthcare Terms & Conditions at https://www.aveanna.com/privacypolicy.html and Privacy Policy at https://www.aveanna.com/privacypolicy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Blanchard Valley Health System
Findlay, OH
Duty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
Greenlife Healthcare Staffing
Jericho, NY
Ideal for nurses experienced with payer interactions and billing processes. Impactful Work: Ensure appropriate reimbursement through clinical documentation integrity.
Episciences, Inc.
Boise, ID
Episciences, Inc., the exclusive manufacturer and distributor of clinically proven Epionce skincare, integrates over 20 years of research on the skin barrier by founder Dr. Carl R. The Marketing Specialist will collaborate with cross-functional teams, manage marketing campaigns, and ensure alignment with the company’s objectives and budget.
Cable One
Saint Robert, MO
Individuals hired into DOT regulated positions must be able to meet and maintain the requirements under the Company’s DOT program, including successfully complete and pass a road test examination, driver’s record safety review, drug testing, DOT physical, and past employer safety performance history. Cable One and our family of brands appreciates the role our associates play to help the company grow, and in return an excellent benefits package is offered to our associates to recognize the importance of their contributions, such as: Medical, dental, and vision plans – start when you start!
Blanchard Valley Health System
Findlay, OH
Duty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
Blanchard Valley Health System
Findlay, OH
Duty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
Vaco LLC
$25 - $27
Danbury, CT
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Jobot
$28 - $30
Roslyn Heights, NY
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. If interested reach out to me TODAY: https://apply.jobot.com/jobs/medical-ar-specialist-surgical-denials-appeals-needed-local-contract/475393849/?utm_source=CareerBuilder.
Tractor Supply Company
Lebanon, PA
Conduct local market research to identify sales leads, planning and executing cold outreach to identified leads, closing sales with identified leads to achieve revenue goals. They will identify key business opportunities within their district, utilizing insights from existing B2B partnerships, lead generation tools, market research and outreach to establish new B2B & Bulk partnerships.
Nucor
Englewood, CO
Western Metals Recycling is a division of the Nucor Corporation is a Fortune 150 company, known for being North America’s leader in designing, manufacturing, and recycling steel and steel products with a history of long-term sustainability and stability. Leadership Presence and Courage - Willingness and confidence to have immediate and direct conversations on critical alignment issues such as teamwork, building relationships, initiating and supporting change, and production issues that arise.
Nucor
Jackson, WI
SUMMARY: The Shipping/Crating Specialist is responsible for packing product into pre-cut crates for domestic or foreign shipment, verifying shipment for correct materials and handling instructions, and loading product and related parts on truck and/or flatbeds. ESSENTIAL FUNCTIONS: Perform assemblies of crates in a safe and organized fashion using pneumatic nail guns and staplers.
Nucor
Jackson, WI
Gather parts for shipment ensuring the type and quantity of parts match the order, inspect product and remove defective parts, record and document parts for shipment, package parts according to the order, utilize small package shipment systems as provided by carriers to create tracking labels, create supporting shipping documentation, move order to delivery area. Duties include preparing and crating orders by processing requests according to the bill of materials; pulling parts; preparing parts for shipment or assembly kits; verify accuracy of order; and complete associated electronic transactions in warehouse management system prior to parts leaving the area.
Nucor
St. Joe, IN
Key responsibilities include evaluating and interpreting customer requirements (prints and specifications) to determine manufacturability within Nucor Fasteners, serving as the first point of contact for technical services and quality inquiries, and determining when issues should be escalated as formal claims or complaints. Our vibrant culture, built on personal connections and teamwork, empowers every team member with the freedom to innovate and contribute to our collective success.
Nucor
Jackson, WI
SUMMARY: The Shipping/Crating Specialist is responsible for packing product into pre-cut crates for domestic or foreign shipment, verifying shipment for correct materials and handling instructions, and loading product and related parts on truck and/or flatbeds. ESSENTIAL FUNCTIONS: Perform assemblies of crates in a safe and organized fashion using pneumatic nail guns and staplers.
CornerStone Staffing
Sherman, TX
ROLE IMPACT: The Inpatient Medical Coder ensures accurate translation of complex acute care documentation into compliant diagnosis and procedure codes. Success is measured by coding accuracy, proper MS-DRG assignment, audit readiness, and effective collaboration with clinical and Health Information Management (HIM) teams.
CornerStone Staffing
Sherman, TX
This role supports optimal reimbursement and regulatory compliance by converting detailed clinical documentation into compliant ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) and ICD-10-PCS (Procedure Coding System) codes. Your expertise will directly influence MS-DRG (Medicare Severity Diagnosis Related Group) assignment, audit outcomes, and revenue cycle performance.