Reimbursement Specialist Salary

Earnings for Reimbursement Specialists in the United States come in at around $16.86 per hour on average. Location is the biggest factor affecting pay for this group, followed by experience level. There are far more female Reimbursement Specialists who answered the questionnaire than men, making up 89 percent. Most report receiving medical coverage from their employers and a strong majority collect dental insurance. Most Reimbursement Specialists like their work and job satisfaction is high. The figures in this rundown are based on the results of PayScale's salary questionnaire.

$31,524 - $77,550
(Median)
$32K
$44K
$78K
MEDIAN: $44,156
10%
50%
90%

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$13.41 - $22.64
(Median)
$13
$17
$23
MEDIAN: $16.00
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$26K$52K$78K
Salary
$31,524 - $77,550  
   
Bonus
$0.00 - $2,781  
Profit Sharing
$1,600  
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).
)
$28,841 - $59,002  
Country: United States | Currency: USD | Updated: 12 Jan 2016 | Individuals Reporting: 123
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$12$24$36
Hourly Rate
$13.41 - $22.64  
   
Overtime
$5.57 - $34.84  
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$24K$48K$72K
Bonus
$0.00 - $2,781  
   
Profit Sharing
$1,600  
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).
)
$28,841 - $59,002  
Country: United States | Currency: USD | Updated: 12 Jan 2016 | Individuals Reporting: 270
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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

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

Common Career Paths for Reimbursement Specialist


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Reimbursement Specialists who go on to become Medical Reimbursement Specialists may see somewhat stagnant compensation. On average, a Medical Reimbursement Specialist, an upper-level role, pays $36K.

Reimbursement Specialist Job Listings

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Popular Skills for Reimbursement Specialist


Reimbursement Specialists report using a pretty varied skill set on the job. Most notably, skills in Insurance, Knowledge of Medicaid & Medicare, Claim Handling, and Medical Coding are correlated to pay that is above average, with boosts between 4 percent and 8 percent. Skills that pay less than market rate include Accounts Receivable, Customer Service, and Billing. Most people familiar with Medicaid & Medicare Billing also know Collections and Insurance.

Pay by Experience Level for Reimbursement Specialist

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


For Reimbursement Specialists, more experience in the field does not usually mean bigger paychecks. Although individuals who have less than five years' experience earn $34K on average, people with five to 10 years benefit from a notably larger average of $38K. On average, Reimbursement Specialists make $41K following one to two decades on the job. In the end, the overall pattern seems to be that more experience generally corresponds to higher pay; a Reimbursement Specialist with more than 20 years of experience can earn $46K on average.

Reimbursement Specialist Reviews

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.

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Experience Affects Reimbursement Specialist Salaries

Late-Career
up arrow 21%



National Average
$38,000


Skills That Affect Reimbursement Specialist Salaries

Insurance
up arrow 8%

Knowledge of Medicaid & Medicare
up arrow 5%

Claim Handling
up arrow 4%

National Average
$38,000

Medical Coding
up arrow 1%

Collections
up arrow 1%

Medicaid & Medicare Billing
up arrow 2%

Customer Service
up arrow 10%

Billing
up arrow 10%

Accounts Receivable
up arrow 18%

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 60 votes.

Gender

Female
89 %
Male
11 %

Years of Experience

Less than 1 year
3%
1-4 years
30%
5-9 years
27%
10-19 years
30%
20 years or more
9%

Common Health Benefits

medical benefits
Medical: 85%
dental benefits
Dental: 79%
medical benefits
Vision: 65%
dental benefits
None: 10%
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