H-1B Visa Reimbursement Specialist Jobs
Reimbursement Specialists who process insurance claims, manage denials, and navigate payer contracts qualify for H-1B visa sponsorship under the specialty occupation standard, which requires a bachelor's degree in health information management, business, or a related field. Employers in hospital systems, revenue cycle firms, and medical billing companies regularly file LCAs for this role.
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About AbbVie
AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube.
Job Description
The Field Reimbursement Manager (FRM) shares expertise and educates on Medical and Pharmacy benefits, Buy & Bill and Specialty Pharmacy acquisition, payor policy, appropriate patient identification, clinical documentation, benefit investigation results, prior authorizations, billing, coding, patient tracking, claim submission, reconciliation management, patient financial savings programs, patient tracking/retreatment, and the denial/appeal process for the approved indications for BOTOX® Therapeutics. The FRM clarifies barriers that may impede or delay appropriate patient access to treatment and/or prevent optimal patient outcomes. The FRM may interact with healthcare providers, administrative staff, revenue cycle management, and institutional leadership.
- Educate on the fundamentals of the BOTOX treatment process, appropriate reimbursement, and understanding the payer landscape
- Leverages advance problem-solving and analytical skills to identify access and reimbursement barriers while offering actionable insights to desired and approved care
- Uncover the root cause to access issues impeding or delaying proper treatment
- Monitor and provide updates on both Region and National Payers. Examples include changes or barriers in medical policy, Prior Authorization requirements, or product acquisition. Apply compliant methods to exchange critical information
- Work collaboratively and function as a liaison for information between various internal stakeholders such as: Market Access, Center of Excellence, Sales, Marketing, Training, Compliance, Trade, and Specialty Pharmacy groups.
- Provide customer feedback relating to approval requirements and access to care barriers with AbbVie stakeholders (Market Access, Center of Excellence, Sales, Marketing, Trade, Specialty Pharmacy, Senior Leadership)
- Educate accounts on need-based tools to support patient access. Examples include HUB services, patient savings programs, payer coverage details, and acquisition pull-through initiatives
- Proficient in providing analytical and customized need-based solutions to problems in complex environments and matrix influenced health systems and practices
- Establish and maintain respectful working relationships with healthcare professionals and staff as well as business-oriented decision makers including C-Suite level executives within territory
- Demonstrates the ability to lead without authority and effectively communicate with diverse groups with sometimes different priorities
- Capable of influencing across functions to gain consensus on agreed upon patient solutions
- Ability to professionally deliver crucial conversations that may contain less than desirable information or facts
- Proactively engage in Field Input Teams offering innovative solutions to problems in a fast-paced changing environment
- Share customer challenges and suggest potential solutions to address obstacles
- Demonstrate effective planning, prioritization, follow up, and anticipates problems
- The employee conducts all work activities in compliance with all Abbvie internal requirements and with all applicable regulatory requirements
Qualifications
- A minimum of 5–7 years of proven success in a health care related field
- Bachelor’s degree required
- Preferred experience includes Previous Sales, District Management, Hospital, Managed Markets, Access and Reimbursement, or practice experience
- Knowledge of Lean Six Sigma principles is favorable
- Exposure to physician-administered injectables, CPT and/or J-code reimbursement, Specialty Pharmacy and Buy & Bill acquisition, Benefit Verifications, Prior Authorizations, Claim Assistance, Appeals and payor policies, and HUB services
- Proven record of comprehensive work with accounts at all levels
- Payer/insurance coverage experience with Medicare, Medicare Advantage, Commercial and Medicaid plans
- Well-developed verbal and written communication skills, including in-person and virtual presentation skills of complex information and processes
- Proven and consistent competence of the following skills: Problem Solving, Gain Access, Resource Mastery, Tangible Results, Overcoming Adversity, Collaboration, and Managing Complexities
- Demonstration of key soft skills: Empathy, Critical Thinking, Curiosity, Persistence, Reliability, and Resourcefulness
- Strong history of leadership within current role
- Technology and analytical skills (Salesforce, virtual meetings, excel, report interpretation)
- A Valid Driver’s License
- Ability to travel adequately to cover territory, attend training, and meetings. Some overnight travel may be required
LOCATION
This role is field-based and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. This geography covers two states: MN and ND.
Additional Information
Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law:
- The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future.
- We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.
- This job is eligible to participate in our long-term incentive programs.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company’s sole and absolute discretion, consistent with applicable law.
AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled.
US & Puerto Rico only - to learn more, visit https://www.abbvie.com/join-us/equal-employment-opportunity-employer.html
US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:
https://www.abbvie.com/join-us/reasonable-accommodations.html
Company Description
About AbbVie
AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube.
Job Description
The Field Reimbursement Manager (FRM) shares expertise and educates on Medical and Pharmacy benefits, Buy & Bill and Specialty Pharmacy acquisition, payor policy, appropriate patient identification, clinical documentation, benefit investigation results, prior authorizations, billing, coding, patient tracking, claim submission, reconciliation management, patient financial savings programs, patient tracking/retreatment, and the denial/appeal process for the approved indications for BOTOX® Therapeutics. The FRM clarifies barriers that may impede or delay appropriate patient access to treatment and/or prevent optimal patient outcomes. The FRM may interact with healthcare providers, administrative staff, revenue cycle management, and institutional leadership.
- Educate on the fundamentals of the BOTOX treatment process, appropriate reimbursement, and understanding the payer landscape
- Leverages advance problem-solving and analytical skills to identify access and reimbursement barriers while offering actionable insights to desired and approved care
- Uncover the root cause to access issues impeding or delaying proper treatment
- Monitor and provide updates on both Region and National Payers. Examples include changes or barriers in medical policy, Prior Authorization requirements, or product acquisition. Apply compliant methods to exchange critical information
- Work collaboratively and function as a liaison for information between various internal stakeholders such as: Market Access, Center of Excellence, Sales, Marketing, Training, Compliance, Trade, and Specialty Pharmacy groups.
- Provide customer feedback relating to approval requirements and access to care barriers with AbbVie stakeholders (Market Access, Center of Excellence, Sales, Marketing, Trade, Specialty Pharmacy, Senior Leadership)
- Educate accounts on need-based tools to support patient access. Examples include HUB services, patient savings programs, payer coverage details, and acquisition pull-through initiatives
- Proficient in providing analytical and customized need-based solutions to problems in complex environments and matrix influenced health systems and practices
- Establish and maintain respectful working relationships with healthcare professionals and staff as well as business-oriented decision makers including C-Suite level executives within territory
- Demonstrates the ability to lead without authority and effectively communicate with diverse groups with sometimes different priorities
- Capable of influencing across functions to gain consensus on agreed upon patient solutions
- Ability to professionally deliver crucial conversations that may contain less than desirable information or facts
- Proactively engage in Field Input Teams offering innovative solutions to problems in a fast-paced changing environment
- Share customer challenges and suggest potential solutions to address obstacles
- Demonstrate effective planning, prioritization, follow up, and anticipates problems
- The employee conducts all work activities in compliance with all Abbvie internal requirements and with all applicable regulatory requirements
Qualifications
- A minimum of 5–7 years of proven success in a health care related field
- Bachelor’s degree required
- Preferred experience includes Previous Sales, District Management, Hospital, Managed Markets, Access and Reimbursement, or practice experience
- Knowledge of Lean Six Sigma principles is favorable
- Exposure to physician-administered injectables, CPT and/or J-code reimbursement, Specialty Pharmacy and Buy & Bill acquisition, Benefit Verifications, Prior Authorizations, Claim Assistance, Appeals and payor policies, and HUB services
- Proven record of comprehensive work with accounts at all levels
- Payer/insurance coverage experience with Medicare, Medicare Advantage, Commercial and Medicaid plans
- Well-developed verbal and written communication skills, including in-person and virtual presentation skills of complex information and processes
- Proven and consistent competence of the following skills: Problem Solving, Gain Access, Resource Mastery, Tangible Results, Overcoming Adversity, Collaboration, and Managing Complexities
- Demonstration of key soft skills: Empathy, Critical Thinking, Curiosity, Persistence, Reliability, and Resourcefulness
- Strong history of leadership within current role
- Technology and analytical skills (Salesforce, virtual meetings, excel, report interpretation)
- A Valid Driver’s License
- Ability to travel adequately to cover territory, attend training, and meetings. Some overnight travel may be required
LOCATION
This role is field-based and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. This geography covers two states: MN and ND.
Additional Information
Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law:
- The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future.
- We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.
- This job is eligible to participate in our long-term incentive programs.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company’s sole and absolute discretion, consistent with applicable law.
AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled.
US & Puerto Rico only - to learn more, visit https://www.abbvie.com/join-us/equal-employment-opportunity-employer.html
US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:
https://www.abbvie.com/join-us/reasonable-accommodations.html
See all 109+ H-1B Visa Reimbursement Specialist Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new H-1B Visa Reimbursement Specialist Jobs.
Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Reimbursement Specialist
Verify your degree matches the SOC code
USCIS evaluates specialty occupation by aligning your degree field with the role's SOC code. For Reimbursement Specialist positions, a degree in health information management, business administration, or finance strengthens the petition more than a general studies credential.
Target revenue cycle employers with LCA history
Search Migrate Mate to filter Reimbursement Specialist openings by employers who have already filed LCAs for this role. Prior filings signal that the employer understands the H-1B process and has established prevailing wage compliance for the position.
Check the prevailing wage before accepting an offer
Use the OFLC Wage Search to look up the Level I through Level IV wage for your specific SOC code and work location. Your offered salary must meet or exceed the DOL-certified prevailing wage listed on your employer's LCA, or USCIS will issue an RFE.
Ask whether the employer files before or after onboarding
Some healthcare billing employers require you to start on OPT or a dependent EAD before sponsoring H-1B. Clarify the filing timeline during offer negotiations so the 60-day OPT grace period doesn't lapse before the I-129 is submitted.
Document payer-specific expertise in your petition
USCIS increasingly issues RFEs for billing and reimbursement roles. A support letter that details your knowledge of Medicare fee schedules, CPT coding, or managed care contracts demonstrates the theoretical and practical depth the specialty occupation standard requires.
Confirm E-Verify enrollment for remote roles
Remote Reimbursement Specialist positions sometimes sit with employers outside traditional healthcare hubs. H-1B requires the employer to file a separate LCA for each work location, and STEM-adjacent hiring often triggers E-Verify enrollment checks before the petition can proceed.
H-1B Visa Reimbursement Specialist: Frequently Asked Questions
Does a Reimbursement Specialist role qualify as an H-1B specialty occupation?
Yes, provided the employer requires at least a bachelor's degree in a specific field such as health information management, business administration, healthcare finance, or a related discipline. Roles that accept any degree or treat the degree as a preference rather than a requirement are vulnerable to USCIS specialty occupation RFEs, so the job description wording matters significantly.
Which industries sponsor H-1B visas for Reimbursement Specialists most often?
Hospital systems, revenue cycle management companies, third-party billing firms, and large physician group practices file the most LCAs for Reimbursement Specialist roles. You can browse verified employers with active H-1B filing history for this position on Migrate Mate, which filters listings by sponsors with confirmed LCA records.
Can I transfer my H-1B to a new Reimbursement Specialist employer mid-status?
Yes. H-1B portability under AC21 lets you start working for a new employer once the transfer petition is filed, without waiting for approval, as long as you've held H-1B status for at least 180 days. The new employer must file a new LCA certified at the prevailing wage for your work location and job duties.
How does a remote work arrangement affect my H-1B as a Reimbursement Specialist?
USCIS requires a separate LCA for each physical location where you work, including your home address if you work remotely. If you move to a different metropolitan statistical area, your employer must file an amended I-129 with a new LCA reflecting the prevailing wage for that location, which may differ from the original certified wage.
What documentation strengthens an H-1B petition for a Reimbursement Specialist position?
A detailed support letter explaining why the role requires a specific bachelor's degree field is critical, especially for billing and coding positions that USCIS sometimes classifies as non-specialty. Evidence that you hold certifications such as CPC or CCS, combined with transcripts showing coursework directly applicable to payer reimbursement processes, reinforces the specialty occupation argument and reduces RFE risk.