Reimbursement Analyst Jobs in USA with Visa Sponsorship
Reimbursement Analysts work in healthcare billing and insurance claims, making them strong candidates for H-1B visa sponsorship. Employers regularly file Labor Condition Applications for this role, and the specialty occupation standard is met through degrees in health information management, accounting, or business administration. For detailed occupation requirements, see the O*NET profile.
See All Reimbursement Analyst JobsOverview
Showing 5 of 36+ Reimbursement Analyst jobs
Have you applied for this role?
Have you applied for this role?
Have you applied for this role?
Have you applied for this role?
Have you applied for this role?
See all 36+ Reimbursement Analyst jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Reimbursement Analyst roles.
Get Access To All JobsResponsibilities/Job Description:
Provide analysis and demonstrate understanding of pharmacy revenue cycle management to optimize the payment cycle for retail, specialty, compounding, and long-term care pharmacy claims. Ensure maintenance and understanding of the overall workflow of pharmacy accounts. Review payments for accuracy, ensure collection according to contracts, understand and follow-up with insurance companies to leverage the revenue process. Utilize preferred collection procedures to obtain third party payments and ensure compliance with Fairview Pharmacy Services (FPS) and Fairview Health Services (FHS) payer contracts. Ensure accuracy of FPS' secondary billing processes and related vendor data feeds into FPS systems as required. Advocate on behalf of FPS to ensure the most efficient processes regarding claim resolution. Evaluate denials, short-pays and rejections. Provide proactive and ongoing follow-up and problem solving with insurance companies and pharmacy sites to identify trends, communicate proactively, and ensure accuracy in the process. Contribute to scalable process improvement to advance external revenue from the national strategy platform with pharmacy business office services.
Responsibilities
- Understand the overall workflow to proactively solve problems, provide analysis and evaluate trends in the revenue cycle.
- Demonstrates analytical skills including the ability to reconcile payer remittances.
- Understands the payer denials and impact on FPS revenue cycle and overall margins.
- Displays initiative to resolve 835 remittance issues including but not limited to; unapplied cash, claim exceptions and partial pays.
- Evaluates contracts, analyzes payments and proactively problem solves to optimize the pharmacy claim payment cycle.
- Provides claims resolution to ensure accuracy in the process.
- Proactively communicates with pharmacy site staff, revenue integrity operations staff, and insurance companies (both pharmacy benefit managers and health plans) to escalate and resolve claims payment discrepancies.
- Analyzes existing reimbursement arrangements/networks and reimbursement and operational issues with claims systems and their subsequent impact on financial results.
- Understand contracts to achieve results and department metrics; including but not limited to:
- Payer Days Service Outstanding (DSO) equals or exceeds department goals
- Open Accounts Receivable % aged greater than 60 days meets or exceeds department goals
- Ensures timely submission of secondary payer billing which meets or exceeds department goals.
- Ensures applied cash targets are met for assigned payers.
- Review payment for accuracy, ensure collection according to contracts, understand and follow-up with insurance payers (both pharmacy benefit managers and health plans) to leverage the pharmacy revenue cycle process.
- Utilizes preferred collection procedures to obtain third party payments and ensures compliance with Fairview Pharmacy Services and Fairview Health Services payer contracts.
- Ensures accuracy of FPS’ secondary billing processes and related vendor data feeds into FPS systems as required.
- Understands regulatory, HMO, PPO, Federal, State and other third party payer requirements needed to prepare and or process claims.
- Ensure optimal revenue cycle performance through evaluation, analysis and problem solving.
- Uses data for projections as part of contractual analysis.
- Completes detailed financial impact analysis of provider rate.
- Produces reports for payment variances, rejected, denied and partial pay claims.
- Reviews aging reports that have reached certain aged categories (30, 60, 90 days, etc).
- Generates manual and on-line billing for resubmission for third party payer’s outstanding balances.
- Reviews payment process for accuracy; provides necessary follow-up.
- Communicates and resolves reimbursement issues to coordinate payer/provider relations between payers and Fairview Pharmacy Services.
- Identifies and communicates trends to PBO leadership to improve overall pharmacy revenue cycle performance.
- Provides analysis to stakeholders with explanations of reimbursement findings from assigned providers utilizing Excel and displays initiative to assist in identifying potential compliance issues to FPS staff and makes recommendations to Finance management for resolution.
- Constantly analyzes operations, and attempts to improve processes in order to provide better customer service and improve the pharmacy revenue cycle (including minimizing controllable loss categories, i.e. Timely Filing).
- Attend periodic meetings with payer representatives to discuss discrepancies and assist in developing action plan for correction.
- Contribute to scalable process improvement to advance external revenue from the national strategy platform with pharmacy business office services.
- Provides retail, specialty, compounding and long-term care pharmacy revenue cycle insights to venture partner teams and PBO vendors to assist with product/service improvement.
- Collaborates with PBO leadership team to assist in the development of new process capabilities to improve efficiency, scalability and margin for FPS.
- Uses problem solving and critical thinking to evaluate to identify, define, analyze and resolve work problems through investigation of alternative ideas and approaches.
Required Qualifications
- B.S./B.A. in Business, healthcare or related field or equivalent combination of education and related experience
- 3 years healthcare reimbursement analysis, collection experience, revenue cycle process knowledge experience and/or pharmacy insurance experience
- This individual should have strong interest in learning new IS systems (Enterprise Rx, RMS StarLink, Frameworks LTC, Epic, Inmar, etc) as well as the ability to work independently
- Excellent customer service skills, proficient in English language, capable of solving problems effectively, ability to follow policies and procedures, and competent mathematical skills
- Strong critical thinking and analytical skills
- Ability to work independently and exercise independent judgment
- Ability to prioritize and deal with fluctuation in workload
- Good computer and telephone skills
Preferred Qualifications
- 5 years pharmacy reimbursement analysis and collection experience with Medicare, Medicaid, Pharmacy Benefit Manager and Commercial Health Plan payer experience
- Pharmacy dispensing knowledge and/or experience
- Pharmacy experience in infusion therapies, retail, specialty and/or hospital setting
- Knowledge of third party payers, billing procedures and insurance
- Pharmacy Technician MN
Qualifications
$28.71 - $40.54 Hourly
Responsibilities/Job Description:
Provide analysis and demonstrate understanding of pharmacy revenue cycle management to optimize the payment cycle for retail, specialty, compounding, and long-term care pharmacy claims. Ensure maintenance and understanding of the overall workflow of pharmacy accounts. Review payments for accuracy, ensure collection according to contracts, understand and follow-up with insurance companies to leverage the revenue process. Utilize preferred collection procedures to obtain third party payments and ensure compliance with Fairview Pharmacy Services (FPS) and Fairview Health Services (FHS) payer contracts. Ensure accuracy of FPS' secondary billing processes and related vendor data feeds into FPS systems as required. Advocate on behalf of FPS to ensure the most efficient processes regarding claim resolution. Evaluate denials, short-pays and rejections. Provide proactive and ongoing follow-up and problem solving with insurance companies and pharmacy sites to identify trends, communicate proactively, and ensure accuracy in the process. Contribute to scalable process improvement to advance external revenue from the national strategy platform with pharmacy business office services.
Responsibilities
- Understand the overall workflow to proactively solve problems, provide analysis and evaluate trends in the revenue cycle.
- Demonstrates analytical skills including the ability to reconcile payer remittances.
- Understands the payer denials and impact on FPS revenue cycle and overall margins.
- Displays initiative to resolve 835 remittance issues including but not limited to; unapplied cash, claim exceptions and partial pays.
- Evaluates contracts, analyzes payments and proactively problem solves to optimize the pharmacy claim payment cycle.
- Provides claims resolution to ensure accuracy in the process.
- Proactively communicates with pharmacy site staff, revenue integrity operations staff, and insurance companies (both pharmacy benefit managers and health plans) to escalate and resolve claims payment discrepancies.
- Analyzes existing reimbursement arrangements/networks and reimbursement and operational issues with claims systems and their subsequent impact on financial results.
- Understand contracts to achieve results and department metrics; including but not limited to:
- Payer Days Service Outstanding (DSO) equals or exceeds department goals
- Open Accounts Receivable % aged greater than 60 days meets or exceeds department goals
- Ensures timely submission of secondary payer billing which meets or exceeds department goals.
- Ensures applied cash targets are met for assigned payers.
- Review payment for accuracy, ensure collection according to contracts, understand and follow-up with insurance payers (both pharmacy benefit managers and health plans) to leverage the pharmacy revenue cycle process.
- Utilizes preferred collection procedures to obtain third party payments and ensures compliance with Fairview Pharmacy Services and Fairview Health Services payer contracts.
- Ensures accuracy of FPS’ secondary billing processes and related vendor data feeds into FPS systems as required.
- Understands regulatory, HMO, PPO, Federal, State and other third party payer requirements needed to prepare and or process claims.
- Ensure optimal revenue cycle performance through evaluation, analysis and problem solving.
- Uses data for projections as part of contractual analysis.
- Completes detailed financial impact analysis of provider rate.
- Produces reports for payment variances, rejected, denied and partial pay claims.
- Reviews aging reports that have reached certain aged categories (30, 60, 90 days, etc).
- Generates manual and on-line billing for resubmission for third party payer’s outstanding balances.
- Reviews payment process for accuracy; provides necessary follow-up.
- Communicates and resolves reimbursement issues to coordinate payer/provider relations between payers and Fairview Pharmacy Services.
- Identifies and communicates trends to PBO leadership to improve overall pharmacy revenue cycle performance.
- Provides analysis to stakeholders with explanations of reimbursement findings from assigned providers utilizing Excel and displays initiative to assist in identifying potential compliance issues to FPS staff and makes recommendations to Finance management for resolution.
- Constantly analyzes operations, and attempts to improve processes in order to provide better customer service and improve the pharmacy revenue cycle (including minimizing controllable loss categories, i.e. Timely Filing).
- Attend periodic meetings with payer representatives to discuss discrepancies and assist in developing action plan for correction.
- Contribute to scalable process improvement to advance external revenue from the national strategy platform with pharmacy business office services.
- Provides retail, specialty, compounding and long-term care pharmacy revenue cycle insights to venture partner teams and PBO vendors to assist with product/service improvement.
- Collaborates with PBO leadership team to assist in the development of new process capabilities to improve efficiency, scalability and margin for FPS.
- Uses problem solving and critical thinking to evaluate to identify, define, analyze and resolve work problems through investigation of alternative ideas and approaches.
Required Qualifications
- B.S./B.A. in Business, healthcare or related field or equivalent combination of education and related experience
- 3 years healthcare reimbursement analysis, collection experience, revenue cycle process knowledge experience and/or pharmacy insurance experience
- This individual should have strong interest in learning new IS systems (Enterprise Rx, RMS StarLink, Frameworks LTC, Epic, Inmar, etc) as well as the ability to work independently
- Excellent customer service skills, proficient in English language, capable of solving problems effectively, ability to follow policies and procedures, and competent mathematical skills
- Strong critical thinking and analytical skills
- Ability to work independently and exercise independent judgment
- Ability to prioritize and deal with fluctuation in workload
- Good computer and telephone skills
Preferred Qualifications
- 5 years pharmacy reimbursement analysis and collection experience with Medicare, Medicaid, Pharmacy Benefit Manager and Commercial Health Plan payer experience
- Pharmacy dispensing knowledge and/or experience
- Pharmacy experience in infusion therapies, retail, specialty and/or hospital setting
- Knowledge of third party payers, billing procedures and insurance
- Pharmacy Technician MN
Qualifications
$28.71 - $40.54 Hourly
See all 36+ Reimbursement Analyst jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Reimbursement Analyst roles.
Get Access To All JobsTips for Finding Visa Sponsorship as a Reimbursement Analyst
Target healthcare systems and insurance companies
Large hospital networks, managed care organizations, and health insurance companies file H-1B petitions for Reimbursement Analysts regularly. These employers have established immigration counsel and existing sponsorship infrastructure, making approvals more predictable than smaller billing firms.
Confirm your degree field matches the role
USCIS requires a specific degree-to-job connection for specialty occupation approval. Health information management, accounting, finance, or healthcare administration degrees align most cleanly. A general business degree may require additional documentation to establish the direct relationship.
Ask about sponsorship before the offer stage
Many healthcare employers sponsor but do not advertise it. Raise the question after a strong first interview, not in your initial application. Framing it as a straightforward process for experienced candidates reduces the chance the conversation ends the opportunity prematurely.
Understand the LCA filing requirement
Your employer must file a Labor Condition Application with the Department of Labor before submitting your H-1B petition. The LCA certifies prevailing wage compliance. Familiarity with this step helps you guide hesitant employers who assume sponsorship is more complicated than it is.
OPT and STEM extension coverage for this role
Reimbursement Analyst roles at healthcare organizations often qualify for STEM OPT extension if your degree is in health informatics or a qualifying data-adjacent field. Confirm your CIP code with your DSO early, as this directly affects your available time before needing H-1B approval.
E-3 and TN visas may apply depending on your nationality
Australian citizens can pursue E-3 sponsorship for this role without lottery risk. Canadian and Mexican nationals may qualify under TN status in the accountant or computer systems analyst category depending on specific duties. Both pathways bypass the H-1B cap entirely.
Reimbursement Analyst jobs are hiring across the US. Find yours.
Find Reimbursement Analyst JobsFrequently Asked Questions
Is a Reimbursement Analyst considered a specialty occupation for H-1B purposes?
Yes, Reimbursement Analyst roles generally qualify as specialty occupations when the position requires a bachelor's degree or higher in a specific field such as health information management, accounting, finance, or healthcare administration. USCIS scrutinizes cases where the employer's job posting says a degree is preferred rather than required, so the job description wording matters. Employers with a clear educational requirement in a related field have the strongest petitions.
Which visa types are most common for Reimbursement Analysts seeking sponsorship?
The H-1B is the most common path. Australian citizens have strong access to the E-3 visa, which has no lottery and processes at U.S. consulates in Australia within a few weeks. Canadian and Mexican nationals may qualify under TN status depending on how their duties are classified. All three options require employer sponsorship, so finding a willing employer is the first step. Browse sponsoring employers on Migrate Mate.
Do Reimbursement Analyst roles typically qualify for STEM OPT extension?
It depends on your degree's CIP code rather than your job title. Degrees in health informatics, health information management, or data-adjacent healthcare fields may qualify. A standard accounting or business administration degree typically does not meet the STEM OPT criteria. Check your degree's CIP code with your Designated School Official before assuming you have 24 additional months of work authorization, as this affects your H-1B timing strategy significantly.
How difficult is it to get H-1B sponsorship as a Reimbursement Analyst?
The specialty occupation bar is generally met for this role, so approval rates at the petition level are reasonable once you clear the lottery. The harder challenge is the lottery itself, which selects roughly 25% of registrations in a given year. Large healthcare employers and hospital systems are more likely to sponsor because they have existing immigration programs. Smaller medical billing companies may not have sponsored before and may be hesitant even when legally straightforward.
What should I include in my job application to improve my chances of sponsorship?
Highlight your degree field explicitly and connect it to the technical nature of the role, such as reimbursement coding, payer contract analysis, or claims adjudication. Employers who understand the specialty occupation connection are more confident sponsoring. If you have prior experience with ICD-10 coding, CPT coding, or payer-specific billing systems, include it. Targeting employers with a documented history of sponsorship is the most efficient approach, and Migrate Mate filters job listings specifically for sponsoring employers.
What is the prevailing wage requirement for sponsored Reimbursement Analyst jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.
See which Reimbursement Analyst employers are hiring and sponsoring visas right now.
Search Reimbursement Analyst Jobs