Reimbursement Specialist Jobs for OPT Students
Reimbursement Specialist roles fall under healthcare administration, a field with steady OPT sponsorship activity. Employers filing Labor Condition Applications for this title typically require a degree in health information management, business, or a related field. Your 12-month OPT window, or 24-month STEM extension if eligible, gives you enough runway to establish yourself with a sponsoring employer.
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Get Access To All JobsINTRODUCTION
CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers. CareDx offers products, testing services, and digital healthcare solutions along the pre- and post-transplant patient journey, and is the leading provider of genomics-based information for transplant patients.
ROLE AND RESPONSIBILITIES
The primary responsibility of the Insurance Reimbursement Specialist is to maximize reimbursement by collecting outstanding balances from insurance companies. The Specialist will maximize collections by following up on unresolved claims and appeals, and by escalating claims for reconsiderations and up to three levels of appeals. The Specialist will work closely with the CareDx Payer Dispute Resolution and Market Access teams to ensure CareDx receives coverage and appropriate reimbursement from contracted and non-contracted payers and government health plans. This role requires meticulous work and the ability to thrive in a fast-paced environment. This is a full-time position, Monday through Friday, with occasional overtime as needed. Candidates within commuting distance of the Brisbane, California office will need to come to the office on a regular basis; remote candidates will work and collaborate from home.
Responsibilities
- Claim Follow-up:
- Resolve aged claims and appeals without payer responses via payer portals & outbound phone calls.
- Identify claims that need a first, second, or third level appeal.
-
Assist teammates with projects and denial work queue management.
-
Denials And Appeals:
- Prioritize an assigned work queue to ensure timely work is balanced with working the most payable claims.
- Identify non-payment trends and, in collaboration with Revenue Cycle leadership, escalate groups of claims to the CareDx Payer Dispute Resolution or Market Access teams.
- Investigate denial and non-payment trends identified by the Revenue Cycle Analytics team. Propose solutions and collaborate cross-functionally with the Denials Management Steering Committee.
- Share opportunities to improve upstream work to prevent denials.
- Work with patients when their assistance is needed in the appeal process.
- Work professionally with Revenue Cycle teammates to be responsive to requests that require your assistance.
BASIC QUALIFICATIONS
- High school diploma or equivalent.
- 3-5 years’ experience in medical billing; strong preference will be given to candidates with molecular laboratory billing experience. Medical billing experience may be substituted with a bachelor’s degree.
- Understanding of patient protections under HIPAA and proper handling of protected health information (PHI).
- Working knowledge of health insurance and terminology.
- Excellent communication and people skills.
- Meticulous with strong analytical and problem-solving abilities.
PREFERRED QUALIFICATIONS
Every individual at CareDx has a direct impact on our collective mission to improve the lives of organ transplant patients worldwide. We believe in taking great care of our people, so they take even greater care of our patients.
Our Competitive Total Rewards Package For US Employees Includes
- Competitive base salary and incentive compensation
- Health and welfare benefits, including a gym reimbursement program
- 401(k) savings plan match
- Employee Stock Purchase Plan
- Pre-tax commuter benefits
- And more!
In addition, we have a Living Donor Employee Recovery Policy that allows up to 30 days of paid leave annually to a full-time employee who makes the selfless act of donating an organ or bone marrow. With products that are making a difference in the lives of transplant patients today and a promising pipeline for the future, it’s an exciting time to be part of the CareDx team. Join us in partnering with transplant patients to transform our future together.
LOCATION
Remote: US only roles
COMPENSATION
This is the anticipated base salary range in the United States. The final salary offered to a successful candidate will be dependent on several factors that may include, but are not limited to, the type and length of experience within the job, the type and length of experience within the industry, education, etc. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work, and this role may be eligible for additional discretionary bonuses/incentives and restricted stock units. CareDx is a multi-state employer, and this salary range may not reflect positions that work in other states.
- Salary Range: $26—$33 USD
CareDx, Inc. is an Equal Opportunity Employer and participates in the E-Verify program.
By proceeding with our application and submitting your information, you acknowledge that you have read our
U.S. Personnel Privacy Notice
and consent to receive email communication from CareDx.
- We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.
Certain jurisdictions require notice of how we use and protect your personal information. For more information, please read our Privacy Policy.
INTRODUCTION
CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers. CareDx offers products, testing services, and digital healthcare solutions along the pre- and post-transplant patient journey, and is the leading provider of genomics-based information for transplant patients.
ROLE AND RESPONSIBILITIES
The primary responsibility of the Insurance Reimbursement Specialist is to maximize reimbursement by collecting outstanding balances from insurance companies. The Specialist will maximize collections by following up on unresolved claims and appeals, and by escalating claims for reconsiderations and up to three levels of appeals. The Specialist will work closely with the CareDx Payer Dispute Resolution and Market Access teams to ensure CareDx receives coverage and appropriate reimbursement from contracted and non-contracted payers and government health plans. This role requires meticulous work and the ability to thrive in a fast-paced environment. This is a full-time position, Monday through Friday, with occasional overtime as needed. Candidates within commuting distance of the Brisbane, California office will need to come to the office on a regular basis; remote candidates will work and collaborate from home.
Responsibilities
- Claim Follow-up:
- Resolve aged claims and appeals without payer responses via payer portals & outbound phone calls.
- Identify claims that need a first, second, or third level appeal.
-
Assist teammates with projects and denial work queue management.
-
Denials And Appeals:
- Prioritize an assigned work queue to ensure timely work is balanced with working the most payable claims.
- Identify non-payment trends and, in collaboration with Revenue Cycle leadership, escalate groups of claims to the CareDx Payer Dispute Resolution or Market Access teams.
- Investigate denial and non-payment trends identified by the Revenue Cycle Analytics team. Propose solutions and collaborate cross-functionally with the Denials Management Steering Committee.
- Share opportunities to improve upstream work to prevent denials.
- Work with patients when their assistance is needed in the appeal process.
- Work professionally with Revenue Cycle teammates to be responsive to requests that require your assistance.
BASIC QUALIFICATIONS
- High school diploma or equivalent.
- 3-5 years’ experience in medical billing; strong preference will be given to candidates with molecular laboratory billing experience. Medical billing experience may be substituted with a bachelor’s degree.
- Understanding of patient protections under HIPAA and proper handling of protected health information (PHI).
- Working knowledge of health insurance and terminology.
- Excellent communication and people skills.
- Meticulous with strong analytical and problem-solving abilities.
PREFERRED QUALIFICATIONS
Every individual at CareDx has a direct impact on our collective mission to improve the lives of organ transplant patients worldwide. We believe in taking great care of our people, so they take even greater care of our patients.
Our Competitive Total Rewards Package For US Employees Includes
- Competitive base salary and incentive compensation
- Health and welfare benefits, including a gym reimbursement program
- 401(k) savings plan match
- Employee Stock Purchase Plan
- Pre-tax commuter benefits
- And more!
In addition, we have a Living Donor Employee Recovery Policy that allows up to 30 days of paid leave annually to a full-time employee who makes the selfless act of donating an organ or bone marrow. With products that are making a difference in the lives of transplant patients today and a promising pipeline for the future, it’s an exciting time to be part of the CareDx team. Join us in partnering with transplant patients to transform our future together.
LOCATION
Remote: US only roles
COMPENSATION
This is the anticipated base salary range in the United States. The final salary offered to a successful candidate will be dependent on several factors that may include, but are not limited to, the type and length of experience within the job, the type and length of experience within the industry, education, etc. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work, and this role may be eligible for additional discretionary bonuses/incentives and restricted stock units. CareDx is a multi-state employer, and this salary range may not reflect positions that work in other states.
- Salary Range: $26—$33 USD
CareDx, Inc. is an Equal Opportunity Employer and participates in the E-Verify program.
By proceeding with our application and submitting your information, you acknowledge that you have read our
U.S. Personnel Privacy Notice
and consent to receive email communication from CareDx.
- We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.
Certain jurisdictions require notice of how we use and protect your personal information. For more information, please read our Privacy Policy.
How to Get Visa Sponsorship as a Reimbursement Specialist
Target healthcare systems over staffing agencies
Large hospital networks and insurance companies are more likely to sponsor H-1B visas after OPT than staffing firms. Focus your search on employers with dedicated HR and immigration support, which signals they have experience sponsoring international employees.
Align your degree field with the job description
Reimbursement Specialist roles typically require a degree in health information management, business administration, or a related field. Make sure your resume clearly connects your academic background to the billing and coding responsibilities listed in each posting.
Pursue coding certifications to strengthen your profile
Credentials like CPC or CCS from AAPC or AHIMA signal technical competence to employers. Certified candidates stand out in a competitive applicant pool and give sponsoring employers more confidence in a long-term employment relationship beyond your OPT period.
Raise OPT status early in the interview process
Disclosing your OPT authorization upfront saves time for both sides. Frame it clearly: you have current work authorization and are seeking an employer willing to support H-1B sponsorship before your OPT expires. Clarity builds trust and filters serious employers faster.
Research employers' H-1B filing history before applying
Employers who have previously sponsored H-1B visas for similar roles are more likely to do so again. Checking historical Labor Condition Application data helps you prioritize applications toward companies with a demonstrated willingness to support international employees.
Reimbursement Specialist jobs are hiring across the US. Find yours.
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Get Access To All JobsFrequently Asked Questions
Can I work as a Reimbursement Specialist on OPT?
Yes. If your degree is in health information management, business administration, healthcare administration, or a closely related field, Reimbursement Specialist roles typically qualify as a direct application of that education. Your employer does not need to file any additional paperwork during your OPT period. You work on your OPT EAD card, and sponsorship only becomes relevant when your OPT approaches expiration.
Does a Reimbursement Specialist job qualify for STEM OPT extension?
It depends on your undergraduate degree, not the job title itself. If your degree is in a STEM-designated field such as health informatics or management information systems, you may qualify for the 24-month extension. Business administration degrees sometimes qualify depending on the specific CIP code your school assigned. Confirm your degree's STEM eligibility with your Designated School Official before counting on the extension.
How do I find Reimbursement Specialist employers who sponsor OPT students?
Migrate Mate is built specifically for F-1 OPT students searching for sponsorship-friendly employers. Rather than filtering through general job boards where sponsorship willingness is unclear, Migrate Mate surfaces roles from employers with a track record of supporting international candidates. Browse Reimbursement Specialist listings there to focus your time on opportunities with real sponsorship potential.
What happens to my Reimbursement Specialist job if I lose the H-1B lottery?
If your employer files an H-1B petition on your behalf and you are not selected in the lottery, your OPT EAD and employment authorization expire at their original end date. Some employers will retain you under cap-exempt H-1B routes if they qualify, or explore alternatives like O-1 or EB-2 NIW. Having that conversation with your employer well before lottery results are announced gives you the most options.
Is a Reimbursement Specialist role considered a specialty occupation for H-1B purposes?
USCIS evaluates specialty occupation status case by case, but Reimbursement Specialist roles can qualify when the position genuinely requires a bachelor's degree or higher in a specific field such as health information management or healthcare administration. Employers need to document that the job duties require specialized knowledge at the degree level, not just general administrative skills. An immigration attorney can assess whether a specific job description meets the standard.
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