People, things, companies, and other valuable properties are exposed to many dangerous risks and uncertainties. So we tend to take help from insurance companies to minimize the cost of valuable assets in case of any damage or loss. If such a scenario happens when your property is destroyed, you can file an insurance claim if it was insured. The insurance company's reimbursement specialist will look into your insurance documents, verify, and prepare the reimbursement claim.

Reimbursement Specialists release accurate billing statements once the Reimbursement claims are processed completely. They handle claim processing components such as coordinating delayed, disputed, or rejected claims and reviewing rejected, returned, or denied claims from third-party payers such as Medicare. Solving these processing issues is also their duty.

Billing departments of insurance and medical fields are the best working place for professionals. Here they can easily demand a salary of $17.90 per hour, on average. But the profession requires a bachelor's or associate's degree in healthcare administration or business.

What Does a Reimbursement Specialist Do

There are certain skills that many reimbursement specialists have in order to accomplish their responsibilities. By taking a look through resumes, we were able to narrow down the most common skills for a person in this position. We discovered that a lot of resumes listed analytical skills, detail oriented and integrity.

Learn more about what a Reimbursement Specialist does

How To Become a Reimbursement Specialist

If you're interested in becoming a reimbursement specialist, one of the first things to consider is how much education you need. We've determined that 39.8% of reimbursement specialists have a bachelor's degree. In terms of higher education levels, we found that 4.9% of reimbursement specialists have master's degrees. Even though some reimbursement specialists have a college degree, it's possible to become one with only a high school degree or GED.

Learn More About How To Become a Reimbursement Specialist

Reimbursement Specialist Career Paths

Average Salary for a Reimbursement Specialist

Reimbursement Specialists in America make an average salary of $38,273 per year or $18 per hour. The top 10 percent makes over $49,000 per year, while the bottom 10 percent under $29,000 per year.
Average Reimbursement Specialist Salary
$38,273 Yearly
$18.40 hourly

What Am I Worth?


Roles and Types of Reimbursement Specialist

The role of a reimbursement specialist includes a wide range of responsibilities. These responsibilities can vary based on an individual's specific job, company, or industry.Here are some general reimbursement specialist responsibilities:

  • Role function as an outpatient prospective payment system (opps) coding, billing, reimbursement,
  • Duties may include, but not limited to all or some of the following) accurately interprets patient insurance, prescription
  • Contact insurance companies to verify eligibility coverage for drug benefits function as a liaison between special drug program patients

There are several types of reimbursement specialist, including:

Medical Records Clerk


Medical record clerks are members of health care staff at hospitals and other medical facilities. They are responsible for dealing with the paperwork for these institutions creating, managing, and maintaining the documentation of patients' cases. They are also expected to assist during audits.

They gather and organize information such as medical records, examination results, admission, and discharge documents. They make sure nurses and other personnel have the necessary forms in stock, they digitalize existing paperwork, and ensure the confidentiality of the files.

This is a full-time job that requires previous experience. Medical clerks have to be familiar with medical terminology, and keen attention to detail is a must. Just like in the case of any administrative position, the use of MS Office and other information management programs is a basic requirement.

  • Average Salary: $32,491
  • Degree: Associate Degree

Medical Coder


The primary responsibility of a medical coder is to take a health care patient's file and translate the procedures and diagnoses into numerical codes. The codes they assign will determine how much a doctor or hospital is reimbursed for their services. Medical coders assign the proper numeric code to each of the procedures and diagnosis using software to determine how much a hospital or doctor will be reimbursed.

Medical coders may need to learn a variety of coding system software programs in order to classify several categories of patients, such as those used for Medicare, long-term care, physician offices, or ambulatory settings.

The minimum education requirement for a mecial coder is a high school diploma or GED. Some employers may prefer to hire if the applicant holds a professional credential, and one may be offered higher wages than an uncertified medical coder. The reported average annual salary for a medical coder is approximately $29,000-59,000. However, this figure can vary significantly depending upon academic qualification, having previous experience, and possession of the aforementioned skills. An optional certification is also available after obtaining experience in the role.

  • Average Salary: $51,563
  • Degree: Associate Degree

Billing Representative


Billing representatives work in various industries, apart from the seemingly obvious banking, insurance, and finance fields. They are employed in other areas as well, such as retail, manufacturing, or healthcare, and are responsible for keeping an eye on credit-based transactions.

Billing representatives hold onto payment records, follow up on installment plans, and watch out for due dates. They remind customers about overdue payments and resolve their doubts and issues related to payments and transactions. They are the ones who communicate with debtors and charge fees upon missing or late payments, and they submit forms to the authorities. They know their way around contracts and regulations and make sure payment terms and practices are in accordance with these.

Although it might sound fairly complicated at first glance, a billing representative position is an entry-level one and is considered a stepping stone toward working in accounting or other higher-level finance positions. An aptitude for data management and math will, of course, go a long way.

  • Average Salary: $35,002
  • Degree: Bachelor's Degree

States With The Most Reimbursement Specialist Jobs

Mouse over a state to see the number of active reimbursement specialist jobs in each state. The darker areas on the map show where reimbursement specialists earn the highest salaries across all 50 states.

Average Salary: Job Openings:

Number Of Reimbursement Specialist Jobs By State

RankStateNumber of JobsAverage Salary
4New York786$41,498
6North Carolina578$38,873
14New Jersey352$44,611
26South Carolina189$40,424
37New Mexico100$38,593
38New Hampshire97$32,430
40North Dakota92$39,299
42West Virginia87$39,200
46Rhode Island71$38,999
48South Dakota65$35,931

Reimbursement Specialist Education

Reimbursement Specialist Majors

27.0 %

Reimbursement Specialist Degrees


39.8 %


26.9 %

High School Diploma

11.2 %

Top Colleges for Reimbursement Specialists

1. University of Pennsylvania

Philadelphia, PA • Private

In-State Tuition




2. California State University - Bakersfield

Bakersfield, CA • Private

In-State Tuition




3. University of Southern California

Los Angeles, CA • Private

In-State Tuition




4. Stanford University

Stanford, CA • Private

In-State Tuition




5. SUNY Stony Brook

Stony Brook, NY • Private

In-State Tuition




6. New York University

New York, NY • Private

In-State Tuition




7. Maria College of Albany

Albany, NY • Private

In-State Tuition




8. University of Minnesota - Twin Cities

Minneapolis, MN • Private

In-State Tuition




9. Duke University

Durham, NC • Private

In-State Tuition




10. Howard University

Washington, DC • Private

In-State Tuition




Top Skills For a Reimbursement Specialist

The skills section on your resume can be almost as important as the experience section, so you want it to be an accurate portrayal of what you can do. Luckily, we've found all of the skills you'll need so even if you don't have these skills yet, you know what you need to work on. Out of all the resumes we looked through, 20.1% of reimbursement specialists listed patients on their resume, but soft skills such as analytical skills and detail oriented are important as well.

Choose From 10+ Customizable Reimbursement Specialist Resume templates

Zippia allows you to choose from different easy-to-use Reimbursement Specialist templates, and provides you with expert advice. Using the templates, you can rest assured that the structure and format of your Reimbursement Specialist resume is top notch. Choose a template with the colors, fonts & text sizes that are appropriate for your industry.

Reimbursement Specialist Resume
Reimbursement Specialist Resume
Reimbursement Specialist Resume
Reimbursement Specialist Resume
Reimbursement Specialist Resume
Reimbursement Specialist Resume
Reimbursement Specialist Resume
Reimbursement Specialist Resume
Reimbursement Specialist Resume
Reimbursement Specialist Resume
Reimbursement Specialist Resume
Reimbursement Specialist Resume
Reimbursement Specialist Resume
Reimbursement Specialist Resume
Reimbursement Specialist Resume
Reimbursement Specialist Resume

Reimbursement Specialist diversity

Reimbursement Specialist Gender Distribution


After extensive research and analysis, Zippia's data science team found that:

  • Among reimbursement specialists, 84.8% of them are women, while 15.2% are men.

  • The most common race/ethnicity among reimbursement specialists is White, which makes up 59.8% of all reimbursement specialists.

  • The most common foreign language among reimbursement specialists is Spanish at 67.4%.

Online Courses For Reimbursement Specialist That You May Like

Advertising Disclosure  

1. Value-Based Care: Introduction to Value-Based Care and the U.S. Healthcare System


COURSE 1 of 7. This course is designed to introduce you to the concept of value-based care (VBC). While the information you will explore is general, it will help you establish a solid foundation for continued learning and future thinking about the concept of VBC. Through a historical lens, you will explore the creation of Medicare and Medicaid and the evolution of commercial insurance, TRICARE, and the Veterans Health Administration. While history is an important filter for understanding...

2. PrEParing: PrEP for Providers and Patients


Pre-Exposure Prophylaxis (PrEP) using the antiretroviral medication emtricitibine/tenofovir approved in countries around the world is a highly effective means of reducing transmission of HIV through sexual encounters and needle sharing. This Johns Hopkins University course PrEPares you with essential information, concepts and practical advice regarding PrEP from leaders in the field. A first of its kind learning opportunity, both providers and patients learn from the same experts through...

3. Data Science for Healthcare Claims Data


Learn and practice how to transform raw healthcare claims data into valuable knowledge and actionable insights!...

Show More Online Courses For Reimbursement Specialist
Job type you want
Full Time
Part Time

Best States For a Reimbursement Specialist

Some places are better than others when it comes to starting a career as a reimbursement specialist. The best states for people in this position are Virginia, New Jersey, Missouri, and Kansas. Reimbursement specialists make the most in Virginia with an average salary of $45,174. Whereas in New Jersey and Missouri, they would average $44,611 and $43,092, respectively. While reimbursement specialists would only make an average of $42,936 in Kansas, you would still make more there than in the rest of the country. We determined these as the best states based on job availability and pay. By finding the median salary, cost of living, and using the Bureau of Labor Statistics' Location Quotient, we narrowed down our list of states to these four.

1. Kansas

Total Reimbursement Specialist Jobs: 162
Highest 10% Earn:
Location Quotient:

2. Vermont

Total Reimbursement Specialist Jobs: 52
Highest 10% Earn:
Location Quotient:

3. North Dakota

Total Reimbursement Specialist Jobs: 92
Highest 10% Earn:
Location Quotient:
Full List Of Best States For Reimbursement Specialists

How Do Reimbursement Specialists Rate Their Jobs?

Working as a Reimbursement Specialist? Share your experience anonymously.
Overall Rating*
Career Growth
Work/Life balance

Top Reimbursement Specialist Employers

Most Common Employers For Reimbursement Specialist

RankCompanyAverage SalaryHourly RateJob Openings
4CVS Health$40,416$19.4330
5Vanderbilt University Medical Center$39,767$19.1235
7Shared Service Systems$38,846$18.6822
8National Seating & Mobility$38,803$18.6633
10Cleveland Clinic$38,305$18.4252

Reimbursement Specialist Videos