Hybrid Cell & Gene Reimbursement Specialist

McKesson Corporation; Fort Worth (TX); Hybrid; USD 28,000 - 45,000; Full time

Job summary

McKesson is seeking a Cell and Gene Insurance Reimbursement Specialist to support reimbursement for life-changing therapies. The role emphasizes insurance coverage navigation, accurate claims processing, and timely reimbursement in a hybrid setting with two in-office days weekly.

Ideal candidates have 5+ years in specialty healthcare billing and a solid understanding of HIPAA, Medicare, and Medicaid guidelines. The position offers a competitive pay range and total rewards at McKesson.

Qualifications

• 5+ years of related experience in specialty pharmacy, rare disease, hospital or infusion billing, or reimbursement services.
• Fluency in health insurance processes and medical coding knowledge is preferred.
• Familiarity with cell and gene therapies reimbursement landscape is a plus.

Responsibilities

• Verify patients' insurance coverage and benefits for cell and gene therapies, including pre-authorization requirements and exclusions.
• Manage appeals and denials related to authorizations and insurance claims with providers and payers.
• Maintain detailed records of reimbursement activities and generate reports as needed.

Skills

Insurance Verification

Appeals & Denials

Documentation & Reporting

Compliance & Regulations

Patient Support

Collaboration

Education

Associate degree in healthcare administration or related field

Tools

Microsoft Office Suite

Job description

McKesson is seeking a Cell and Gene Insurance Reimbursement Specialist to support reimbursement for life-changing therapies. The role emphasizes insurance coverage navigation, accurate claims processing, and timely reimbursement in a hybrid setting with two in-office days weekly.

Ideal candidates have 5+ years in specialty healthcare billing and a solid understanding of HIPAA, Medicare, and Medicaid guidelines. The position offers a competitive pay range and total rewards at McKesson.