The average Reimbursement Specialist in the United States can expect to rake in roughly $17.28 per hour. Earnings for this group are mostly affected by geography, followed by career length and the individual firm. Job satisfaction is reported as high by the vast majority of workers. Most receive medical and dental insurance and a strong majority get vision insurance. There are far more female Reimbursement Specialists who answered the questionnaire than men, making up 89 percent. Respondents to the PayScale salary survey provided the data for this report.

$34,714 - $93,454
$35K
$46K
$93K
MEDIAN: $46,429
10%
50%
90%

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$14.09 - $24.18
$14
$17
$24
MEDIAN: $17.00
10%
50%
90%

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National Salary Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$32K$64K$96K
Salary
$34,714 - $93,454  
   
Bonus
$375.00 - $8,000  
Profit Sharing
$850  
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$29,943 - $59,336  
Country: United States | Currency: USD | Updated: 18 Jan 2017 | Individuals Reporting: 80
National Hourly Rate Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$14$28$42
Hourly Rate
$14.09 - $24.18  
   
Overtime
$21.33 - $40.19  
National Annualized Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$28K$56K$84K
Bonus
$375.00 - $8,000  
   
Profit Sharing
$850  
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$29,943 - $59,336  
Country: United States | Currency: USD | Updated: 18 Jan 2017 | Individuals Reporting: 233

Find Out Exactly What You Should Be Paid

United States (change)

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Job Description for Reimbursement Specialist

Reimbursement specialists work within the billing departments of medical or insurance companies to oversee reimbursement and collections for patients' treatment expenses. They may work for a doctors' office, clinic, hospital, or insurance company. Reimbursement specialists also keep track of accounts receivable and billing invoices while communicating with individuals or insurance companies to obtain reimbursement.

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Reimbursement Specialist Tasks

  • Ensure services are in compliance with professional standards, state and federal regulatory requirements.
  • Identify, compile, abstract and code patient accounts, verify with physician in order to expediate the bill for payment to the insurance provider.
  • Research denials from insurance providers in order to maximize reimbursement.

Common Career Paths for Reimbursement Specialist


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Many Reimbursement Specialists move into a Medical Reimbursement Specialist role, which does not lead to a big boost in pay. Medical Reimbursement Specialists on average bring in a similar salary to Reimbursement Specialists.

Reimbursement Specialist Job Listings

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Popular Employer Salaries for Reimbursement Specialist


Popular Skills for Reimbursement Specialist


Survey results imply that Reimbursement Specialists deploy a deep pool of skills on the job. Most notably, skills in Microsoft Excel, Knowledge of Medicaid & Medicare, Insurance, and Medical Terminology are correlated to pay that is above average, with boosts between 4 percent and 12 percent. At the other end of the pay range are skills like Accounts Receivable, Billing, and bill collections. Most people skilled in Medicaid & Medicare Billing are similarly competent in Collections and Insurance.

Pay by Experience Level for Reimbursement Specialist

Median of all compensation (including tips, bonus, and overtime) by years of experience.


For many Reimbursement Specialists, extensive experience does not lead to significantly more money. The median compensation for relatively untried workers is $35K; in the five-to-10 year group, it's higher at around $38K. Reimbursement Specialists with one to two decades of relevant experience report an average salary of approximately $42K. Individuals who have achieved more than 20 years of experience don't seem to earn much more than people who have 10 to 20 years under their belts; the more senior group reports an average income of $44K.

Pay Difference by Location

National Average: $37,974

Larger city markers indicate a job is popular in that location.

With a pay rate for Reimbursement Specialists that is 42 percent greater than the national average, Chicago offers a comfortable salary for those in this profession. Reimbursement Specialists can also look forward to large paychecks in cities like Atlanta (+32 percent), Dallas (+24 percent), Houston (+15 percent), and Cleveland (+11 percent). Those in the field find the lowest salaries in St. Louis, 17 percent below the national average.

Reimbursement Specialist Reviews

Q: What is it like working as a Reimbursement Specialist?

Reimbursement Specialist in St. Louis:
"Reimbursement World."
Pros: I like the challenge of having to fight and advocate for patients DME benefits to be covered at the in-network benefit level. It's rewarding to see that a prior authorization is approved for certain DME that patients receive through an out-of-network provider.
Cons: The leghnthy process to obtain a prior authorization for DME to be covered through a patient's insurance.

Related Job Salaries

Key Stats for Reimbursement Specialist

Gender

Female
89 %
Male
11 %

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 51 votes.
Less than 1 year
3%
1-4 years
32%
5-9 years
26%
10-19 years
28%
20 years or more
11%
Location:
Years in Fields/Career:
United States (change)

Experience Affects Reimbursement Specialist Salaries



National Average
$38,000



Skills That Affect Reimbursement Specialist Salaries

Microsoft Excel
up arrow 12%

Knowledge of Medicaid & Medicare
up arrow 5%


Medical Terminology
up arrow 2%

Medicaid & Medicare Billing
0%

Claim Handling
0%

National Average
$38,000





up arrow 5%

Accounts Receivable
up arrow 19%

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 51 votes.

Gender

Female
89 %
Male
11 %

Years of Experience

Less than 1 year
3%
1-4 years
32%
5-9 years
26%
10-19 years
28%
20 years or more
11%

Common Health Benefits

medical benefits
Medical: 83%
dental benefits
Dental: 80%
vision benefits
Vision: 73%
dental benefits
None: 12%
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