Medical Reimbursement Specialist Jobs
Medical Reimbursement Specialist jobs are open across hospitals, physician groups, insurance companies, and billing services, at levels from entry-level to senior and lead, with specializations in claims adjudication, denial management, and coding compliance. Find a role that fits below and apply directly.
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See related jobsMcKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you.
Biologics by McKesson Mission
At Biologics by McKesson, our mission is to simplify access to medication and deliver personalized care that helps patients achieve the best-possible outcomes — one patient, one partner, one therapy at time.
Role Overview
The Supervisor, CGT Reimbursement & Medical Benefit Operations is responsible for leading a team supporting Cell and Gene Therapy reimbursement, medical benefit investigations, provider billing support, and broader Biologics medical benefit operations. This role serves as a reimbursement verification and medical billing subject matter expert while providing direct supervision, coaching, performance management, and development of reimbursement professionals.
Location: This is a hybrid role and candidates must live within a drivable distance of our Ft. Worth, TX or Cary, NC locations.
Compensation: The target compensation for this role is between $71,000 and $73,000 annually along with a 5% bonus.
Key Responsibilities
- Lead, coach, mentor, and develop a team of reimbursement and medical benefit specialists.
- Conduct performance reviews, succession planning, employee development, and workforce planning.
- Oversee medical benefit investigations, prior authorizations, reimbursement support, and complex payer escalations.
- Partner with internal medical billing teams to ensure claims are billed accurately and compliantly.
- Consult with Contracting teams regarding LOAs and SCAs to support reimbursement and operational requirements.
- Support Accounts Receivable teams with denial management, underpayments, payer disputes, and reimbursement resolution.
- Serve as reimbursement SME for Cell and Gene Therapy and broader Biologics medical benefit programs.
- Lead process improvement initiatives and launch readiness activities for new therapies.
Minimum Requirement
Typically requires 3+ years of subject matter experience including exhibiting leadership capabilities.
Education
Bachelor degree preferred in healthcare, business, finance, nursing, or related discipline.
Critical Skills
- 3+ years of specialty pharmacy, medical benefit reimbursement, provider billing, revenue cycle, or hospital reimbursement experience.
- People leadership or supervisory experience.
- Demonstrated medical benefit and billing experience required.
- Experience in the specialty healthcare or pharmaceutical segment with understanding of healthcare continuum and relationship between manufacturers, patients, providers, and payers
- Strong understanding of health insurance coverage and reimbursement processes, including knowledge of medical coding and billing practices.
- Familiarity with cell and gene therapies and the associated reimbursement landscape is a plus.
- Knowledge of payer policy interpretation, coding, claims adjudication, and reimbursement methodologies.
- Strong analytical, communication, and cross-functional collaboration skills. Knowledge of applicable healthcare laws and regulations, including HIPAA, Medicare, and Medicaid guidelines.
- Exceptional written and verbal communication skills, along with collaboration skills and ability to influence others; ability to build credible relationships across multi-business units.
- Excellent verbal and written communication skills, with the ability to effectively communicate with patients, healthcare providers, and insurance companies.
- Ability to work effectively in a team-oriented environment, collaborating with colleagues to achieve common goals. Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint
Specialized Knowledge and Skills
- Experience specifically related to cell and gene therapies is highly desirable. Strong prioritization, time management and project management skills
- Ability to manage complex issues, function independently, demonstrate flexibility, as well as the ability to work effectively with remote internal and external teams.
- Knowledge of LOAs, SCAs, payer/provider contracting implications, and treatment site reimbursement.
- Experience supporting A/R, denial prevention, and reimbursement optimization.
- Strong analytical and problem-solving skills, with the ability to identify and resolve issues related to insurance reimbursement. Critical thinking, analytical, research, and problem-solving skills
Working Conditions
Environment: Office environment
Physical Requirements
Office environment
20% travel required
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson,
Our Base Pay Range for this position
$59,200 - $98,600McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson’s (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind:
McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.
McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.
McKesson job postings are posted on our career site: careers.mckesson.com.
McKesson is an Equal Opportunity Employer
McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.
McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States) Disability_Accommodation@McKesson.com or (Canada) Accessibility@mckesson.ca. Resumes or CVs submitted to this email box will not be accepted.
Join us at McKesson!
McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you.
Biologics by McKesson Mission
At Biologics by McKesson, our mission is to simplify access to medication and deliver personalized care that helps patients achieve the best-possible outcomes — one patient, one partner, one therapy at time.
Role Overview
The Supervisor, CGT Reimbursement & Medical Benefit Operations is responsible for leading a team supporting Cell and Gene Therapy reimbursement, medical benefit investigations, provider billing support, and broader Biologics medical benefit operations. This role serves as a reimbursement verification and medical billing subject matter expert while providing direct supervision, coaching, performance management, and development of reimbursement professionals.
Location: This is a hybrid role and candidates must live within a drivable distance of our Ft. Worth, TX or Cary, NC locations.
Compensation: The target compensation for this role is between $71,000 and $73,000 annually along with a 5% bonus.
Key Responsibilities
- Lead, coach, mentor, and develop a team of reimbursement and medical benefit specialists.
- Conduct performance reviews, succession planning, employee development, and workforce planning.
- Oversee medical benefit investigations, prior authorizations, reimbursement support, and complex payer escalations.
- Partner with internal medical billing teams to ensure claims are billed accurately and compliantly.
- Consult with Contracting teams regarding LOAs and SCAs to support reimbursement and operational requirements.
- Support Accounts Receivable teams with denial management, underpayments, payer disputes, and reimbursement resolution.
- Serve as reimbursement SME for Cell and Gene Therapy and broader Biologics medical benefit programs.
- Lead process improvement initiatives and launch readiness activities for new therapies.
Minimum Requirement
Typically requires 3+ years of subject matter experience including exhibiting leadership capabilities.
Education
Bachelor degree preferred in healthcare, business, finance, nursing, or related discipline.
Critical Skills
- 3+ years of specialty pharmacy, medical benefit reimbursement, provider billing, revenue cycle, or hospital reimbursement experience.
- People leadership or supervisory experience.
- Demonstrated medical benefit and billing experience required.
- Experience in the specialty healthcare or pharmaceutical segment with understanding of healthcare continuum and relationship between manufacturers, patients, providers, and payers
- Strong understanding of health insurance coverage and reimbursement processes, including knowledge of medical coding and billing practices.
- Familiarity with cell and gene therapies and the associated reimbursement landscape is a plus.
- Knowledge of payer policy interpretation, coding, claims adjudication, and reimbursement methodologies.
- Strong analytical, communication, and cross-functional collaboration skills. Knowledge of applicable healthcare laws and regulations, including HIPAA, Medicare, and Medicaid guidelines.
- Exceptional written and verbal communication skills, along with collaboration skills and ability to influence others; ability to build credible relationships across multi-business units.
- Excellent verbal and written communication skills, with the ability to effectively communicate with patients, healthcare providers, and insurance companies.
- Ability to work effectively in a team-oriented environment, collaborating with colleagues to achieve common goals. Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint
Specialized Knowledge and Skills
- Experience specifically related to cell and gene therapies is highly desirable. Strong prioritization, time management and project management skills
- Ability to manage complex issues, function independently, demonstrate flexibility, as well as the ability to work effectively with remote internal and external teams.
- Knowledge of LOAs, SCAs, payer/provider contracting implications, and treatment site reimbursement.
- Experience supporting A/R, denial prevention, and reimbursement optimization.
- Strong analytical and problem-solving skills, with the ability to identify and resolve issues related to insurance reimbursement. Critical thinking, analytical, research, and problem-solving skills
Working Conditions
Environment: Office environment
Physical Requirements
Office environment
20% travel required
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson,
Our Base Pay Range for this position
$59,200 - $98,600McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson’s (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind:
McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.
McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.
McKesson job postings are posted on our career site: careers.mckesson.com.
McKesson is an Equal Opportunity Employer
McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.
McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States) Disability_Accommodation@McKesson.com or (Canada) Accessibility@mckesson.ca. Resumes or CVs submitted to this email box will not be accepted.
Join us at McKesson!
Medical Reimbursement Specialist Jobs by Experience Level
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Find JobsMedical Reimbursement Specialist Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in medical reimbursement specialist jobs.
- Knowledge of CPT, ICD-10, and HCPCS coding systems and claim submission rules
- Experience working with Medicare, Medicaid, and commercial payer billing requirements
- Proficiency with practice management or billing software such as Epic, Meditech, or Athenahealth
- Ability to identify, appeal, and resolve denied or underpaid insurance claims
- High school diploma required, associate or bachelor's degree in health information preferred
- Familiarity with HIPAA compliance standards and patient data confidentiality requirements
Tips for Your Medical Reimbursement Specialist Job Search
Tailor your resume to billing workflows
Highlight your experience with specific claim types, institutional versus professional billing, Medicare versus commercial payers, because hiring managers screen for exact workflow match. Generic billing experience reads weaker than a resume that names the payer environments you've worked in.
List every coding credential you hold
Certifications like CPC, CPC-H, CPB, or CPRC belong in a dedicated credentials section near the top of your resume. Recruiters filter for these before reading anything else, so don't bury them inside a job description bullet.
Apply early to roles that fit
Migrate Mate lists medical reimbursement specialist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings by payer mix and specialty
Filter openings by the payer environment you know best, government programs, commercial insurance, or multi-specialty groups. A strong background in one payer mix is more compelling than a vague claim of broad experience, so apply where your specific knowledge is a direct fit.
Prepare denial scenario answers for interviews
Interviewers for reimbursement roles commonly ask you to walk through how you resolved a specific denial code or recovered a high-dollar underpayment. Prepare two or three concrete examples with the payer type, the error category, and how you corrected or escalated it.
Negotiate using payer audit and recovery data
When discussing compensation, reference measurable outcomes from your experience, recovery rates on denied claims, reduction in days in accounts receivable, or audit accuracy improvements. Concrete numbers from your own history give you a credible basis to negotiate above the initial offer.
Medical Reimbursement Specialist Jobs: Frequently Asked Questions
Which companies are hiring the most medical reimbursement specialists?
The most active employers for medical reimbursement specialists right now are McKesson, ProMod Rx, and SANUWAVE, and the most openings are in Florida, North Carolina, and Wisconsin, based on current listings on Migrate Mate as of November 2026. Large health systems and revenue cycle management firms tend to post the highest volume of openings consistently.
How many medical reimbursement specialist jobs are remote?
About 100% of medical reimbursement specialist openings are fully remote or hybrid as of November 2026, reflecting the shift toward centralized billing operations. Denial management, insurance follow-up, and accounts receivable roles are the sub-areas most commonly offered as fully remote positions.
How do you become a medical reimbursement specialist?
Start by completing a medical billing or health information management program at a community college or vocational school, which covers coding systems, payer rules, and claim submission. Earning a CPC or CPB certification from the American Academy of Professional Coders strengthens your candidacy significantly. Entry-level roles in billing or insurance follow-up provide hands-on experience that leads to specialist positions.
Can I get a medical reimbursement specialist job with little or no experience?
Yes, many employers hire candidates with no direct experience if you have completed a formal medical billing program and hold a recognized coding credential. Entry points include billing clerk, insurance verification, and patient accounts roles, where you build hands-on payer experience. Focusing your applications on smaller physician practices or revenue cycle outsourcing firms increases your chances at the entry level.
What does the medical reimbursement specialist interview process look like?
Most interviews begin with a phone or video screen focused on your familiarity with specific payer types and billing software. A hiring manager interview typically includes scenario-based questions where you walk through how you handle a denial, an underpayment, or a coding discrepancy. Some employers add a short written or practical assessment covering claim edits or denial code identification before making an offer.
Where can I find and apply to medical reimbursement specialist jobs?
You can find and apply to medical reimbursement specialist jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your payer experience, coding credentials, and preferred work setting, then apply directly to each listing that fits.
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