Reimbursement Specialist (Healthcare Revenue Cycle)

Location: Remote within the United States; Monday–Friday, 8:00am–5:00pm PST or CST

Salary: $24.82–$33.59 USD per hour

Company

hirify.global is a diagnostics company developing genomic and clinical insights, bioinformatics, and AI-enabled cancer tests to support diagnosis, treatment, and reimbursement.

What you will do

• Manage day-to-day medical billing and insurance reimbursement activities.
• Verify patient insurance coverage and benefits with Medicare, Medicaid, and private insurers.
• Review claims for accuracy, submit claims, track statuses, post payments, and perform accounts receivable follow-up.
• Investigate denied and unpaid claims, then complete resubmissions, appeals, and other corrective actions.
• Navigate payer portals and phone systems to obtain eligibility, prior authorization, claim, and appeal information.
• Support patients, internal teams, customers, and administrative projects with clear and compassionate communication.

Requirements

• High school diploma or GED.
• 2+ years of experience in medical billing, insurance claims, or revenue cycle operations.
• Experience with payer portals, claim tracking systems, Microsoft Office, Word, and Excel.
• Familiarity with HIPAA compliance, healthcare privacy regulations, and payer guidelines.
• Experience with CRM and billing software such as Salesforce, Epic, XiFin, or Quadax.
• Ability to work remotely from the United States during PST or CST business hours.

Nice to have

• Associate's or bachelor's degree in healthcare administration, business, or a related field.
• Familiarity with ICD and HCPCS/CPT coding, CMS 1500 claim forms, and Claim Adjustment Reason Codes.

Culture & Benefits

• Purpose-driven work focused on improving cancer care and patient outcomes.
• Inclusive workplace with an emphasis on empathy, integrity, collaboration, and continuous improvement.
• Competitive compensation and benefits.
• Potential eligibility for discretionary bonuses, incentives, and restricted stock units.
• Full-time employee position with a remote work arrangement.