Reimbursement Specialist Job at Cencora

Reimbursement Specialist

In this role you will perform Reimbursement Specialist duties for assigned terri...

Location

United States , Saint Paul

Salary:

49600.00 - 68200.00 USD / Year

Baxter

Expiration Date

Until further notice

Requirements

3+ years of industry experience, preferably in health insurance and/or durable medical equipment
Third party payer experience strongly preferred
Exceptional written, verbal, and interpersonal communications
Strong critical thinking and problem-solving skills
Detail orientated and ability to multi-task
Ability to work independently as well as in a team environment
Possess the ability to manage time and prioritize critical priorities
Proficiency in Microsoft Office Software
Experience with Total Information Management System (TIMS) a benefit

Job Responsibility

Perform verification of eligibility and benefits to determine coverage and payer requirements
Ensure all benefit information is loaded correctly to reduce rework and allow for clean claims
Gather clinical documentation to support medical necessity for Cardiology products and assess clinical documentation to ensure all applicable prescription, face to face, and coverage criteria requirements are met
Prepare and submit prior authorization requests to insurance companies including commercial payers as well as government payers including Medicare and Medicaid
Process authorization decisions from payers timely to streamline and drive revenue
Negotiate payment rates for letter of agreement to ensure maximum collection potential
Provide a superior customer experience by leveraging ability to discuss payer policies, coverage criteria, benefit limitations, potential cost, or any pertinent product information with patients and healthcare teams
Understand and adhere to all policies for Baxter and 3rd party payers to ensure the highest standards of quality and compliance

What we offer

Medical and dental coverage that start on day one
Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
Flexible Spending Accounts
Educational assistance programs
Time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service
Family and medical leaves of absence
Paid parental leave
Commuting benefits

Fulltime

Reimbursement Specialist

In this role you will perform Reimbursement Specialist duties for assigned terri...

Location

United States , Saint Paul

Salary:

49600.00 - 68200.00 USD / Year

Baxter

Expiration Date

Until further notice

Requirements

3+ years of industry experience, preferably in health insurance and/or durable medical equipment
Third party payer experience strongly preferred
Exceptional written, verbal, and interpersonal communications
Strong critical thinking and problem-solving skills
Detail orientated and ability to multi-task
Ability to work independently as well as in a team environment
Possess the ability to manage time and prioritize critical priorities
Proficiency in Microsoft Office Software
Experience with Total Information Management System (TIMS) a benefit

Job Responsibility

Perform verification of eligibility and benefits to determine coverage and payer requirements
Ensure all benefit information is loaded correctly to reduce rework and allow for clean claims
Gather clinical documentation to support medical necessity for Cardiology products and assess clinical documentation to ensure all applicable prescription, face to face, and coverage criteria requirements are met
Prepare and submit prior authorization requests to insurance companies including commercial payers as well as government payers including Medicare and Medicaid
Process authorization decisions from payers timely to streamline and drive revenue
Negotiate payment rates for letter of agreement to ensure maximum collection potential
Provide a superior customer experience by leveraging ability to discuss payer policies, coverage criteria, benefit limitations, potential cost, or any pertinent product information with patients and healthcare teams
Understand and adhere to all policies for Baxter and 3rd party payers to ensure the highest standards of quality and compliance

What we offer

medical and dental coverage start on day one
insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP)
401(k) Retirement Savings Plan (RSP)
Flexible Spending Accounts
educational assistance programs
time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave
commuting benefits
Employee Discount Program
Employee Assistance Program (EAP)

Fulltime

Reimbursement Specialist

In this role you will perform Reimbursement Specialist duties for assigned terri...

Location

United States , Saint Paul

Salary:

49600.00 - 68200.00 USD / Year

Baxter

Expiration Date

Until further notice

Requirements

3+ years of industry experience, preferably in health insurance and/or durable medical equipment
Third party payer experience strongly preferred
Exceptional written, verbal, and interpersonal communications
Strong critical thinking and problem-solving skills
Detail orientated and ability to multi-task
Ability to work independently as well as in a team environment
Possess the ability to manage time and prioritize critical priorities
Proficiency in Microsoft Office Software
Experience with Total Information Management System (TIMS) a benefit

Job Responsibility

Perform verification of eligibility and benefits to determine coverage and payer requirements
Ensure all benefit information is loaded correctly to reduce rework and allow for clean claims
Gather clinical documentation to support medical necessity for Cardiology products and assess clinical documentation to ensure all applicable prescription, face to face, and coverage criteria requirements are met
Prepare and submit prior authorization requests to insurance companies including commercial payers as well as government payers including Medicare and Medicaid
Process authorization decisions from payers timely to streamline and drive revenue
Negotiate payment rates for letter of agreement to ensure maximum collection potential
Provide a superior customer experience by leveraging ability to discuss payer policies, coverage criteria, benefit limitations, potential cost, or any pertinent product information with patients and healthcare teams
Understand and adhere to all policies for Baxter and 3rd party payers to ensure the highest standards of quality and compliance

What we offer

Medical and dental coverage that start on day one
Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
Flexible Spending Accounts
Educational assistance programs
Paid holidays
Paid time off ranging from 20 to 35 days based on length of service
Family and medical leaves of absence
Paid parental leave

Fulltime

Reimbursement Specialist

Our team members are at the heart of everything we do. At Cencora, we are united...

Location

Canada

Salary:

41800.00 - 64350.00 CAD / Year

Cencora

Expiration Date

Until further notice

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

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

What we offer

Medical, dental, and vision care
Comprehensive suite of benefits focusing on 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
Paid parental leave
Paid caregiver leave
Training programs
Professional development resources
Opportunities to participate in mentorship programs, employee resource groups, volunteer activities

Fulltime

Reimbursement Specialist

In this role you will perform Reimbursement Specialist duties for assigned terri...

Location

United States , Saint Paul

Salary:

49600.00 - 68200.00 USD / Year

Baxter

Expiration Date

Until further notice

Requirements

3+ years of industry experience, preferably in health insurance and/or durable medical equipment
Third party payer experience strongly preferred
Exceptional written, verbal, and interpersonal communications
Strong critical thinking and problem-solving skills
Detail orientated and ability to multi-task
Ability to work independently as well as in a team environment
Possess the ability to manage time and prioritize critical priorities
Proficiency in Microsoft Office Software

Job Responsibility

Perform verification of eligibility and benefits to determine coverage and payer requirements
Ensure all benefit information is loaded correctly to reduce rework and allow for clean claims
Gather clinical documentation to support medical necessity for Cardiology products and assess clinical documentation to ensure all applicable prescription, face to face, and coverage criteria requirements are met
Prepare and submit prior authorization requests to insurance companies including commercial payers as well as government payers including Medicare and Medicaid
Process authorization decisions from payers timely to streamline and drive revenue
Negotiate payment rates for letter of agreement to ensure maximum collection potential
Provide a superior customer experience by leveraging ability to discuss payer policies, coverage criteria, benefit limitations, potential cost, or any pertinent product information with patients and healthcare teams
Understand and adhere to all policies for Baxter and 3rd party payers to ensure the highest standards of quality and compliance

What we offer

Medical and dental coverage that start on day one
Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP)
401(k) Retirement Savings Plan (RSP)
Flexible Spending Accounts
Educational assistance programs
Paid holidays
Paid time off ranging from 20 to 35 days based on length of service
Family and medical leaves of absence
Paid parental leave

Fulltime

Reimbursement Specialist

Perform Reimbursement Specialist duties for assigned territory or payer(s) inclu...

Location

United States , Saint Paul

Salary:

49600.00 - 68200.00 USD / Year

Baxter

Expiration Date

Until further notice

Requirements

3+ years of industry experience, preferably in health insurance and/or durable medical equipment
Third party payer experience strongly preferred
Exceptional written, verbal, and interpersonal communications
Strong critical thinking and problem-solving skills
Detail orientated and ability to multi-task
Ability to work independently as well as in a team environment
Possess the ability to manage time and prioritize critical priorities
Proficiency in Microsoft Office Software

Job Responsibility

Perform verification of eligibility and benefits to determine coverage and payer requirements
Ensure all benefit information is loaded correctly to reduce rework and allow for clean claims
Gather clinical documentation to support medical necessity for Cardiology products
Assess clinical documentation to ensure all applicable prescription, face to face, and coverage criteria requirements are met
Prepare and submit prior authorization requests to insurance companies including commercial payers as well as government payers including Medicare and Medicaid
Process authorization decisions from payers timely to streamline and drive revenue
Negotiate payment rates for letter of agreement to ensure maximum collection potential
Provide a superior customer experience by leveraging ability to discuss payer policies, coverage criteria, benefit limitations, potential cost, or any pertinent product information with patients and healthcare teams
Understand and adhere to all policies for Baxter and 3rd party payers to ensure the highest standards of quality and compliance
Consistently contribute to team goals and understand how they support greater organizational goals

What we offer

Medical and dental coverage that start on day one
Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP)
401(k) Retirement Savings Plan (RSP)
Flexible Spending Accounts
Educational assistance programs
Paid holidays
Paid time off ranging from 20 to 35 days based on length of service
Family and medical leaves of absence
Paid parental leave

Fulltime

New

Bilingual Reimbursement Specialist

In this role, you are much more than an administrator—you are the crucial link t...

Location

Canada , Saint-Laurent

Salary:

53000.00 - 57000.00 USD / Year

Randstad

Expiration Date

September 07, 2026

Requirements

Fluent professional bilingualism in French and English (oral and written)
1+ years of experience in a high-volume customer service or call center environment
Background exposure to healthcare, insurance, casework, or a patient-facing environment is a significant asset
Exceptional multitasking and organizational skills
High proficiency navigating the Microsoft Office Suite (Outlook, Word, Excel, Teams)
Strong critical thinking skills
Post-secondary education or equivalent professional experience in a related discipline

Job Responsibility

Strategic Case & Funding Management: Orchestrate every moving part required to secure prescription drug coverage for patients, navigating public, private, and federal funding channels seamlessly
Stakeholder Alliance Coordination: Act as the central point of contact between insurance companies, physicians' offices, pharmacies, and healthcare professionals to accelerate approvals
Documentation & Financial Advocacy: Prepare and process complex coverage paperwork, including Special Authorization forms, and implement Financial Means Testing to maximize patient access options
High-Touch Empathetic Communication: Manage high-volume inbound inquiries and conduct structured outbound tracking calls with patients, family members, and medical teams according to protocol
Vigilant Safety & Risk Auditing: Evaluate clinical data accurately to minimize programmatic risk while taking full ownership of identifying and reporting Adverse Events (AEs) to designated compliance units

What we offer

True Remote Autonomy: Enjoy a 100% work-from-home setup with all the infrastructure needed to succeed from day one
Comprehensive Health Protection: Access robust, pro-rated medical, dental, and vision care packages tailored to safeguard you and your family
Holistic Wellness Ecosystem: Take advantage of premium physical, emotional, financial, and social wellness programs designed for modern balance
Family-Centric Framework: Benefit from specialized support structures including backup dependent care, paid parental/caregiver leave, and family-building assistance
Career Cultivation: Accelerate your professional path with custom training programs, proactive mentorship initiatives, and regular exposure to leading pharmaceutical technologies

Fulltime

Employee Reimbursement Specialist

We are looking for an Employee Reimbursement Specialist to support accounts paya...

Location

United States , Centerville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 2 years of experience in accounts payable, employee reimbursements, or a closely related finance operations role
Hands-on experience reviewing invoices, assigning account coding, and supporting payment processing activities such as ACH or check runs
Proficiency with NetSuite, Coupa, and Microsoft Excel in a transaction-heavy environment
Strong attention to detail with the ability to verify documentation accuracy and identify coding or processing discrepancies
Experience tracking inquiries, maintaining organized records, and following issues through resolution
Ability to create clear weekly reports and communicate volume trends, aging items, and operational risks to management
Degree in Accounting, Finance, Business, or related field

Job Responsibility

Manage the full employee reimbursement process by reviewing incoming submissions, confirming required support is included, coordinating next steps, and following each request through approval and payment
Conduct targeted quality reviews of invoice records in Smartsheet to confirm data accuracy, completeness, and correct coding before payment processing continues
Identify recurring errors or inconsistencies and communicate findings to the appropriate processing team so corrections can be made promptly
Maintain an organized log of vendor and internal payment questions, monitor open items, follow up on aging requests, and document final resolutions
Prepare weekly accounts payable activity reports that summarize workflow volume, outstanding exceptions, reimbursement status, inquiry aging, and payment release activity by region
Monitor workload patterns and raise concerns when trends suggest potential capacity constraints or processing delays
Provide additional invoice processing support during high-volume periods to help maintain service levels across regional teams
Act as backup support for regional processors during scheduled or unexpected absences to ensure continuity of daily AP operations

What we offer

medical
vision
dental
life and disability insurance
401(k) or deferred compensation plan (if eligible)
paid time off for vacation, personal needs, and sick time and paid holidays
Choice Time Off (CTO)
paid holidays

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Reimbursement Specialist

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