Reimbursement Specialists in the United States are largely female. The average salary of the entire group is approximately $17.24 per hour. Compensation for this group is mainly affected by residence, but career duration and the specific company are influential factors as well. Work is enjoyable for Reimbursement Specialists, who typically claim high levels of job satisfaction. Most get medical and dental insurance, and a strong majority get vision plans, too. Figures cited in this summary are based on replies to PayScale's salary questionnaire.

$33,975 - $79,463
(Median)
$34K
$46K
$79K
MEDIAN: $45,697
10%
50%
90%

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$14.14 - $23.83
(Median)
$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$27K$54K$81K
Salary
$33,975 - $79,463  
   
Bonus
$377.52 - $9,933  
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).
)
$30,009 - $57,712  
Country: United States | Currency: USD | Updated: 28 Oct 2016 | 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$13$26$39
Hourly Rate
$14.14 - $23.83  
   
Overtime
$20.85 - $38.37  
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$26K$52K$78K
Bonus
$377.52 - $9,933  
   
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).
)
$30,009 - $57,712  
Country: United States | Currency: USD | Updated: 28 Oct 2016 | Individuals Reporting: 231
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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 Employer Salaries for Reimbursement Specialist


Popular Skills for Reimbursement Specialist


Survey results imply that Reimbursement Specialists deploy a substantial tool kit of skills at work. Most notably, skills in Microsoft Excel, Knowledge of Medicaid & Medicare, Medical Terminology, and Claim Handling are correlated to pay that is above average. Skills that pay less than market rate include Accounts Receivable, Billing, and bill collections. The majority of those who know 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.


More years of relevant experience do not necessarily translate to higher paychecks. People who have worked for fewer than five years bring home $35K on average. Median compensation in the five-to-10 year group, however, is higher at approximately $37K. Reimbursement Specialists bring in $42K after working for 10 to 20 years. More than 20 years of experience mean a somewhat bigger median paycheck of $44K, but it's not much more than what less experienced people make.

Pay Difference by Location

National Average: $37,742

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

For those looking to make money, Reimbursement Specialists in Chicago enjoy an exceptional pay rate, 42 percent above the national average. Reimbursement Specialists can also look forward to large paychecks in cities like Atlanta (+32 percent), Dallas (+28 percent), Houston (+15 percent), and Charlotte (+7 percent). The lowest-paying market is St. Louis, which sits 17 percent below the national 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.

Related Job Salaries

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Experience Affects Reimbursement Specialist Salaries



National Average
$38,000



Skills That Affect Reimbursement Specialist Salaries

Microsoft Excel
up arrow 13%

Knowledge of Medicaid & Medicare
up arrow 5%

Medical Terminology
up arrow 3%

Claim Handling
up arrow 1%

National Average
$38,000

Medicaid & Medicare Billing
up arrow 1%

Insurance
up arrow 1%

Medical Coding
up arrow 2%

Collections
up arrow 2%

bill collections
up arrow 3%

Customer Service
up arrow 3%

up arrow 5%

Accounts Receivable
up arrow 18%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 49 votes.

Gender

Female
91 %
Male
9 %

Years of Experience

Less than 1 year
3%
1-4 years
32%
5-9 years
26%
10-19 years
29%
20 years or more
11%

Common Health Benefits

medical benefits
Medical: 84%
dental benefits
Dental: 80%
medical benefits
Vision: 75%
dental benefits
None: 11%
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