CencoraHiring

Field Reimbursement Specialist

  • Remote, United States
  • Full-time
  • Mid-level
  • Posted 2 weeks ago
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In one line

Field role helping patients get specialty medicines by sorting out insurance coverage, prior authorisations and appeals with doctors' offices; heavy travel across a multi-state territory.

About the role

Reimbursement and access problems for a specialty drug covered under pharmacy benefits are the core of the work. The specialist educates practice staff, untangles coverage snags and links providers, manufacturers, pharmacies and payers.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Mid-level
Employment
Full-time
Skills
Pharmacy benefit reimbursement, Prior authorizations, Appeals, Specialty pharmacies, Coding, Billing, Formulary
Posted
15 Oct 2026
Last checked
29 Oct 2026

What you will do

  • Teach providers and their staff about access and reimbursement using approved materials
  • Resolve coverage and reimbursement problems so patients can get the product
  • Work with the patient assistance and reimbursement support services on offer

What they look for

  • High school diploma or GED
  • Experience in healthcare resolving pharmacy benefit access issues
  • Background in pharmacy benefit reimbursement, prior authorisations, appeals and specialty pharmacies
  • Willingness to earn a Prior Authorization Certified Specialist certification within six months
  • Comfort with extensive weekly travel, including overnight stays

Nice to have

  • Bachelor's degree or practice management experience
  • Previous work as a field reimbursement manager or specialist

A typical week

  • Educate practice managers and office staff on insurance issues for the product
  • Explain payer coverage rules, coding, billing, formulary and appeal steps
  • Ask questions to find the root cause of access or reimbursement problems
  • Give interactive educational presentations at provider sites
  • Share updates on coverage and payer policy changes in the territory

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Questions about this job

Is this a remote job, and where can I work from?

The posting lists it as remote for people in the United States.

What does this job pay?

The posting does not state a salary, so there is no figure to quote.

What experience is needed?

It is a mid-level role. The posting asks for: high school diploma or GED; experience in healthcare resolving pharmacy benefit access issues; background in pharmacy benefit reimbursement, prior authorisations, appeals and specialty pharmacies. Skills it names include Pharmacy benefit reimbursement, Prior authorizations, Appeals, Specialty pharmacies.

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