Reimbursement Specialist jobs in United States
cer-icon
Apply on Employer Site
company-logo

McKesson ยท 9 hours ago

Reimbursement Specialist

McKesson is an impact-driven, Fortune 10 company that focuses on making quality healthcare more accessible and affordable. The Reimbursement Specialist role involves providing reimbursement support to various stakeholders, conducting insurance verifications, and facilitating prior authorization processes for patients and healthcare providers.

BiopharmaBiotechnologyHealth CareInformation TechnologyPharmaceutical
check
H1B Sponsor Likelynote

Responsibilities

Contact payers to verify patient eligibility and product specific coverage information
Interface with physicians, advocates, patients, and manufacturer representatives to obtain and provide drug specific coverage information
Provide prior authorization assistance as well as claims assistance, including billing and coding instructions, to physicians and/or office staff
Provide accurate and timely follow-up to all reimbursement inquires in accordance with program guidelines
Ensure that the intake information is accurate and complete in order to perform all reimbursement research
Research and compile payer specific information for reimbursement database
Utilize internal resources to identify and provide alternate funding sources for patients without insurance or adequate coverage through their insurer

Qualification

Medical claims experienceInsurance verificationICD-10HCPCSCPTHealthcare environment experiencePrior authorization processMS Office proficiencyInterpersonal skillsWritten communication skillsOrganizational skillsProblem solving skills

Required

Typically requires 3+ years of related experience
HS Diploma or equivalent
2+ year's experience within a healthcare environment
Medical claims experience
Experience in the healthcare industry including, but not limited to, insurance verification and/or claim adjudication, physician's office or outpatient billing, pharmacy and/or pharmaceutical manufacturers
Must be able to compose and document benefit investigation outcomes and prepare written status reports to management on a regular basis
ICD-10, HCPCS and CPT experience
Ability to effectively handle multiple priorities within a changing environment
Interpersonal skills
Strong written and oral communication skills
Strong organizational skills
Proficient in MS Office
Problem solving and decision-making skills

Benefits

Competitive compensation package
Annual bonus
Long-term incentive opportunities

Company

McKesson

company-logo
McKesson distributes medical supplies, information technology, and care management products and services.

H1B Sponsorship

McKesson has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (149)
2024 (129)
2023 (82)
2022 (142)
2021 (144)
2020 (154)

Funding

Current Stage
Public Company
Total Funding
unknown
1994-11-18IPO

Leadership Team

leader-logo
Brian Tyler
CEO
linkedin
leader-logo
Jim McAuliffe
CFO
linkedin
Company data provided by crunchbase