Hybrid Cell & Gene Reimbursement Specialist

McKesson; Fort Worth (TX); Hybrid; USD 36,000 - 39,000; Full time

Job summary

McKesson, a Fortune 10 healthcare leader, seeks a Cell and Gene Insurance Reimbursement Specialist who will help patients access life‑changing therapies. The hybrid role requires two in-office days weekly in Ft.

Worth, TX or Cary, NC, focusing on accurate claims processing and timely reimbursement. You will verify insurance, navigate denials, maintain records, and stay current with regulations while guiding patients through coverage and financial assistance options.

Qualifications

• 5+ years of experience in specialty pharmacy, rare disease, hospital billing, infusion billing, or related reimbursement services.
• Experience in healthcare or pharmaceutical segments with knowledge of payers and reimbursement.
• Knowledge of HIPAA, Medicare, and Medicaid guidelines.

Responsibilities

• Verify patients' insurance coverage and benefits for cell and gene therapies, including pre-authorization requirements.
• Manage appeals and denials related to authorizations and claims with providers and payers.
• Maintain detailed records of reimbursement activities and generate reports as needed.
• Stay up to date with insurance regulations and ensure compliance with guidelines.
• Provide guidance to patients and families regarding coverage and financial assistance options.
• Collaborate with cross‑functional teams to streamline reimbursement processes.

Skills

Insurance reimbursement

Cell & gene therapy

HIPAA compliance

Medical billing

Communication skills

Team collaboration

Problem solving

Education

Associate degree in healthcare administration

Tools

Microsoft Office

Excel

Word

PowerPoint

Job description

McKesson, a Fortune 10 healthcare leader, seeks a Cell and Gene Insurance Reimbursement Specialist who will help patients access life‑changing therapies. The hybrid role requires two in-office days weekly in Ft.

Worth, TX or Cary, NC, focusing on accurate claims processing and timely reimbursement. You will verify insurance, navigate denials, maintain records, and stay current with regulations while guiding patients through coverage and financial assistance options.