CrawlJobs Logo

Reimbursement Specialist

cencora.com Logo

Cencora

Location Icon

Location:
Canada

Category Icon
Category:
Customer Service

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided
Save Job
Save Icon
Apply Position

Job Description:

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!

Job Responsibility:

  • Coordinate and manage all aspects required in order to obtain prescription drug coverage for patients
  • Coordinate cases with insurance companies, physician’ offices and healthcare professionals in order to maximize reimbursement solutions
  • Coordinate documents, submissions and all related paperwork to insurance companies, public/federal funding programs
  • Implement Financial Means Test as required in an effort to maximize patient’s prescription drug coverage
  • Coordinate pharmacy processes required once funding has been obtained
  • Acquire in depth knowledge of public / private and federal funding mechanisms
  • Report all Adverse Events to the assigned units/departments
  • Be assigned other duties and tasks as required from time to time

Requirements:

  • Post-secondary education or equivalent in a related discipline
  • Minimum of 2 years experience in customer service, in an office setting
  • Strong proficiency in Microsoft applications (Outlook, Word, Excel)
  • Professional / courteous / efficient telephone manner
  • Proven ability to organize time, set priorities and multi-task in order to meet various competing work deadlines
  • Candidate must have strong communication and interpersonal skills
  • Ability to work independently and in a team environment
  • Attention to detail
  • Experience in the healthcare, pharmaceutical or insurance industry is an asset
  • Bilingualism, French/English is an asset
  • Advanced knowledge of pharmaceutical distribution industry
  • Working knowledge of automated warehouse operating system
  • Strong business and financial acumen
  • Strong analytical and mathematical skills
  • Ability to communicate effectively both orally and in writing
  • Effective interpersonal and leadership skills
  • Effective organizational skills
  • attention to detail
  • Ability to consistently meet deadlines
  • Excellent problem-solving skills
  • ability to resolve issues effectively and efficiently
  • Excellent presentation skills
  • Knowledge of Microsoft Word, Excel, PowerPoint and other Office Programs

Nice to have:

  • Experience in the healthcare, pharmaceutical or insurance industry
  • Bilingualism, French/English
What we offer:
  • Medical, dental, and vision care
  • Backup dependent care
  • Adoption assistance
  • Infertility coverage
  • Family building support
  • Behavioral health solutions
  • Paid parental leave
  • Paid caregiver leave
  • Training programs
  • Professional development resources
  • Opportunities to participate in mentorship programs, employee resource groups, volunteer activities

Additional Information:

Job Posted:
February 20, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Icon
Cencora - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Reimbursement Specialist

Medical Reimbursement Specialist

We are in search of a Medical Reimbursement Specialist to join our team. Station...
Location
Location
United States , Princeton
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 3 years of experience in a similar role
  • Proficient in benefit functions
  • Demonstrated expertise in billing functions
  • Experience in claim administration
  • Familiarity with collection processes
  • Ability to handle and resolve medical denials
  • Comprehensive knowledge of Medicare
Job Responsibility
Job Responsibility
  • Analyze and categorize outstanding claims based on payer, denial reason, and claim value
  • Investigate and take corrective action on unpaid, denied, or underpaid claims
  • Collaborate with internal teams to obtain missing documentation and expedite claim resubmission
  • Evaluate common denial reasons and address them accordingly, such as coding errors, medical necessity, and prior authorization
  • Submit corrected claims and formal appeals as required
  • Communicate with insurance payers to resolve aged claims and escalate unresolved claims as necessary
  • Maintain comprehensive records of all payer interactions
  • Identify the root causes of denials and implement best practices to prevent future issues
  • Suggest changes to workflow to enhance claim submission accuracy and speed
  • Conduct training for in-house billing teams on claim recovery strategies
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligibility to enroll in company 401(k) plan
  • Fulltime
Read More
Arrow Right

Senior Field Reimbursement Specialist

Under general supervision of a Senior Manager, the Sr Field Reimbursement Specia...
Location
Location
United States , Remote
Salary
Salary:
100700.00 - 155100.00 USD / Year
cencora.com Logo
Cencora
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Experience related and progressively responsible in a medical practice, private or third-party reimbursement arena, or pharmaceutical industry in sales, managed care, or clinical support
  • Experience within healthcare provider support such as a physician practice, patient assistance program or similar pharmaceutical/biological support program experience preferred
  • Bachelor’s degree preferred
  • Minimum of 7 years of experience
  • Candidates must possess a Prior Authorization Certification Specialist (PACS) credentials from an industry approved licensing body, or obtain certification within the first six months of employment
  • Ability to effectively manage multiple client relationships and customer
  • Ability to manage and support external meetings, presentations, and client interactions
  • Ability to lead and work in a matrix environment
  • Proven teamwork and collaboration skills with a demonstrated record of accomplishment of working in highly matrixed and cross-functional organizations
  • Ability to manage multiple tasks, timelines, expenses, and other activities necessary to fulfill the roles and responsibilities of a Field Reimbursement Specialists
Job Responsibility
Job Responsibility
  • Plan and engage with customers, leveraging client approved resources, to educate on access and reimbursement topics relevant to assigned client’s product
  • Track progress and evaluate results of assigned activities
  • Recommends changes in procedures
  • Lead or direct more complex projects or certain aspects of projects
  • Operates with reasonable latitude for un-reviewed action or decision
  • Work within a matrix environment to collaborate with internal and external stakeholders to secure optimized patient access and provide appropriate education through a focused effort on healthcare providers in community, institutional, and academic medical settings
  • Manage daily activities that support appropriate patient access to our client’s products in the provider offices and healthcare institutions, working as a liaison to other patient assistance and reimbursement support services offered by our clients
  • Review patient insurance benefit options with appropriate authorizations
  • Validate prior authorization requirements
  • Understanding of Specialty Pharmacy processes
What we offer
What we offer
  • medical
  • dental
  • vision care
  • comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
  • support for working families
  • backup dependent care
  • adoption assistance
  • infertility coverage
  • family building support
  • behavioral health solutions
  • Fulltime
Read More
Arrow Right

Field Reimbursement Specialist

The Field Reimbursement Specialist (FRS) to serves as a subject-matter expert on...
Location
Location
United States , Jersey City; Long Island; New York City; Brooklyn
Salary
Salary:
88700.00 - 126940.00 USD / Year
cencora.com Logo
Cencora
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners
  • Understands the dynamics of specialty pharmacy
  • Experience in revenue cycle, formulary, benefit investigations, prior authorization, coding, and appeals processes
  • Deep understanding of pharmacy benefits/policies
  • Strong time management and planning skills
  • Proficient in Microsoft Word, Powerpoint, Excel, and Outlook
  • Live within a reasonable commuting distance of a major airport in the listed location and be able to travel within a territory that includes but may not be limited to New York City, NY, Brooklyn, NY, Queens, NY, and Long Island, NY
  • High School Diploma/GED required
  • Bachelor's degree or relevant practice management experience preferred
  • Previous experience as Field Reimbursement Manager/Specialist preferred
Job Responsibility
Job Responsibility
  • Educating providers and their office staff on access and reimbursement topics using client-approved resources
  • Supporting appropriate patient access to the client’s products by resolving reimbursement and coverage challenges
  • Collaborating with other patient assistance and reimbursement support services offered by the client
  • Educate provider office staff and practice managers on insurance issues relevant to the supported clients product, and inform the staff of important coverage and payer policy changes within assigned territories
  • Educate provider office staff with understanding the payers’ coverage management strategies for product, including coding, billing, formulary, prior authorization, and appeal processes
  • Probe to understand office processes and ability to discern root causes of access or reimbursement issues
  • Deliver interactive educational presentations at various provider sites of service
  • Provide information on relevant reimbursement topics related to our client’s products based on client’s approval
  • Performs other related duties as assigned
What we offer
What we offer
  • Medical, dental, and vision care
  • Comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
  • Support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave
  • Variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities
  • Fulltime
Read More
Arrow Right
New

Medical Reimbursement Specialist

We are looking for a skilled Medical Reimbursement Specialist to join our team o...
Location
Location
United States , South Weymouth
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Proven experience in hospital billing and insurance reimbursement processes
  • Strong knowledge of Explanation of Benefits (EOB) and medical payment posting
  • Proficiency in analyzing financial data and preparing reports
  • Familiarity with systems such as Experian and Strata for data extraction and analysis
  • Ability to research and explain financial variances in revenue and charges
  • Experience with preparing journal entries and conducting reconciliations
  • Excellent organizational and communication skills to collaborate effectively with cross-functional teams
  • Knowledge of regulatory requirements and processes for third-party cost reporting
Job Responsibility
Job Responsibility
  • Analyze monthly revenue performance against budget and investigate variances related to reimbursement, volume, and charges
  • Prepare and post journal entries for contractual allowances in Accounts Receivable, ensuring accurate reconciliations
  • Collaborate with finance and departmental teams to develop and support the annual hospital budget
  • Assist in the creation of presentations for hospital leadership, providing insights into financial performance
  • Direct the preparation and filing of third-party cost reports and regulatory documentation
  • Support annual audits by preparing necessary financial data and ensuring compliance with audit standards
  • Extract and analyze data from systems such as Experian and Strata to assist in budgeting, forecasting, and productivity modeling
  • Identify opportunities to streamline processes and implement improvements to enhance operational efficiency
  • Maintain detailed records and reserves for contractual allowances to ensure financial accuracy
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
  • Fulltime
Read More
Arrow Right
New

Medical Reimbursement Specialist

We are looking for a skilled Medical Reimbursement Specialist to join our team o...
Location
Location
United States , South Weymouth
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Proven experience in hospital billing and insurance reimbursement processes
  • Strong knowledge of Explanation of Benefits (EOB) and medical payment posting
  • Proficiency in analyzing financial data and preparing reports
  • Familiarity with systems such as Experian and Strata for data extraction and analysis
  • Ability to research and explain financial variances in revenue and charges
  • Experience with preparing journal entries and conducting reconciliations
  • Excellent organizational and communication skills to collaborate effectively with cross-functional teams
  • Knowledge of regulatory requirements and processes for third-party cost reporting
Job Responsibility
Job Responsibility
  • Analyze monthly revenue performance against budget and investigate variances related to reimbursement, volume, and charges
  • Prepare and post journal entries for contractual allowances in Accounts Receivable, ensuring accurate reconciliations
  • Collaborate with finance and departmental teams to develop and support the annual hospital budget
  • Assist in the creation of presentations for hospital leadership, providing insights into financial performance
  • Direct the preparation and filing of third-party cost reports and regulatory documentation
  • Support annual audits by preparing necessary financial data and ensuring compliance with audit standards
  • Extract and analyze data from systems such as Experian and Strata to assist in budgeting, forecasting, and productivity modeling
  • Identify opportunities to streamline processes and implement improvements to enhance operational efficiency
  • Maintain detailed records and reserves for contractual allowances to ensure financial accuracy
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right

Self-Pay Collection Representative III

Responsible for collecting receivables due from patient/responsible parties. Ide...
Location
Location
United States of America , Rochester
Salary
Salary:
19.62 - 26.49 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's degree and 3 years of hospital patient accounting or consumer collections experience required
  • Or equivalent combination of education and experience
  • Certification obtained from a nationally accredited billing program (i.e., Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement Specialist CMRS) upon hire preferred
Job Responsibility
Job Responsibility
  • Resolves receivables due from patients
  • Identifies and prepares for appropriate action of those accounts which cannot be resolved amicably and requires legal or collection activity
  • Makes recommendation for write-off, resolves credit balances by, requests transfers and refunds, etc.
  • Documents and formalizes all actions to ensure compliance with university and legal requirements
  • Maintains records for effective reporting of efforts
  • Responds to patient written and verbal inquiries
  • Negotiates installment payment arrangements with the guarantor or a financially responsible individual that are equitable to both URMC and individual
  • Interacts with ancillary areas which impact receivables to resolve A/R problems and address patient problems delaying payment
  • Maintains a general knowledge of billing and collection regulations and procedures which affect A/R
  • Other duties as assigned
  • Fulltime
Read More
Arrow Right

Claim Resolution Representative III

With latitude for initiative and independent judgment within department guidelin...
Location
Location
United States of America , Rochester
Salary
Salary:
19.62 - 26.49 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's degree in business administration required
  • 2 years of hospital/professional Patient Accounting, Consumer Collections experience, or Certification obtained from a nationally accredited billing program (i.e., Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement Specialist CMRS) required
  • Or an equivalent combination of education and experience
  • Ability to type 25 wpm Required
Job Responsibility
Job Responsibility
  • Managing professional hospital accounts
  • Resolving balances of aged insurance accounts
  • Making independent decisions as to the processes necessary to collect denied insurance claims, no response accounts, and investigating resolving billing issues
  • Maintaining a detailed knowledge of billing requirements and regulations
  • Representing the department and Strong Memorial Hospital (SMH) in a professional manner, protecting confidentiality of patient information
  • Completes follow up activities on denied, unpaid, or under-paid accounts
  • Maintains a thorough knowledge of Professional Billing
  • Identify and clarify billing issues, payment variances and/or trends that require management intervention
  • Research and respond to third party correspondence, receive phone calls, explain policies and procedures
  • Participate in department staff meetings, education classes and training
  • Fulltime
Read More
Arrow Right

Field Reimbursement Specialist

Field Reimbursement Specialists (FRSs) are responsible for providing field suppo...
Location
Location
United States
Salary
Salary:
88700.00 - 126940.00 USD / Year
cencora.com Logo
Cencora
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma/GED required
  • Bachelor's degree or specific Practice Management experience preferred
  • Project management skills
  • Experience with extensive travel
  • Prior Authorization Certification Specialist (PACS) credentials from an industry approved licensing body, or obtain certification within the first six months of employment
  • Ability to conduct field-based reimbursement and access support, education, and consultation
  • Understands the dynamics of Specialty Pharmacy vs. Specialty Distribution
  • Broad understanding of the physician buy-and-bill model vs. assignment of benefits to alternate sites of care
  • Experience in revenue cycle, buy and bill (including billing with miscellaneous J-code), formulary, benefit investigations, prior authorization, coding, and appeals processes
  • Deep understanding of medical and pharmacy benefits/policies
Job Responsibility
Job Responsibility
  • Provide field support for patient access to client’s specified products through interaction with the client’s patient support program and provider customers
  • Provide expertise and advanced skills to resolve complex patient access and provider reimbursement issues
  • Provide educational services across a variety of healthcare provider sites of care
  • Work directly with the provider and their office support staff
  • Interact with other reimbursement and patient support services provided by clients
  • Plan and engage with customers, leveraging client approved resources, to educate on access and reimbursement topics
  • Manage daily activities that support appropriate patient access to our client’s products in the provider offices
  • Work as a liaison to other patient assistance and reimbursement support services offered by our clients
  • Travel weekly, which could include overnight, to healthcare offices within a designated territory
  • Educate provider office staff and practice managers on logistics needed to support client product
What we offer
What we offer
  • Medical
  • dental
  • vision care
  • comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
  • support for working families
  • backup dependent care
  • adoption assistance
  • infertility coverage
  • family building support
  • behavioral health solutions
  • Fulltime
Read More
Arrow Right
Remote jobs Jobs by Category
Art and Entertainment Jobs Banking Jobs Call Center Jobs Construction Jobs Consulting Jobs Customer Service Jobs Education Jobs Energy Jobs Finance Jobs Gastronomy Jobs Health and Beauty Jobs Hospitality and Tourism Jobs Human Resources Jobs Insurance Jobs IT - Administration Jobs IT - Software Development Jobs Legal Jobs Logistics Jobs Manufacturing Jobs Marketing, Digital Marketing, SEO, SEM Jobs Media Jobs Nursing Jobs Office Administration Jobs Pharmacy Jobs Physical Work Jobs Public Relations Jobs Public Sector Jobs Purchasing Jobs Quality Control Jobs Real Estate Jobs Research and Development Jobs Sales Jobs
Job Positions Jobs by Country
United States Jobs United Kingdom Jobs India Jobs Canada Jobs Australia Jobs Germany Jobs Ireland Jobs Poland Jobs
Company
Blog Salaries About Us Contact
Follow Us
Facebook
X (Twitter)
LinkedIn
Instagram
CrawlJobs Group
ITFlashcards AllDevBlogs
© 2026 CrawlJobs Ltd. All Rights Reserved
Terms & Conditions Privacy Policy