Field Reimbursement Specialist

Location: Texas

Territory Coverage: Texas (statewide)

Travel Requirement: Up to 80% travel

Industry: Specialty Healthcare Access & Patient Services

Employment Type: Full-Time

We are seeking a Field Reimbursement Specialist to support providers and patients across the state of Texas. This field-based, remote role is designed for a professional who understands the intricacies of healthcare access, payer policy, and the operational side of provider networks. You will serve as a trusted resource for healthcare teams, helping to remove barriers to patient access for specialty therapies.

The ideal candidate is someone who thrives in a consultative, field-facing role and can confidently navigate discussions around reimbursement, benefit verification, and payer guidelines. This position requires regular in-state travel to meet with provider offices, conduct training, and build strong partnerships with clinical and administrative staff.

Responsibilities

• Educate provider office staff on coverage policies, benefit requirements, and billing procedures for specialty medications and therapies
• Provide clear guidance on navigating insurance workflows, including coding, documentation, prior authorization, and appeals
• Identify and troubleshoot access issues related to both medical and pharmacy benefit channels
• Deliver in-person and virtual training sessions to healthcare providers and staff on evolving access topics
• Consult with provider offices on reimbursement pathways including buy-and-bill, specialty distribution, and assignment of benefits
• Act as a connector between provider teams and internal support services or reimbursement programs
• Document insights, interactions, and access challenges in CRM or case management systems
• Travel frequently within Texas (up to 80%) to build relationships and deliver on-site support

Qualifications

• 3 years of experience in healthcare reimbursement, patient access, or medical billing
• In-depth knowledge of medical and pharmacy benefits, including coding, billing, benefit verification, and appeals
• Understanding of specialty pharmacy distribution models, buy-and-bill workflows, and infusion therapy logistics
• Experience supporting provider offices in fields such as oncology, neurology, rheumatology, or infusion-based care is preferred
• Strong presentation, communication, and relationship-building skills
• Highly organized, self-directed, and comfortable managing territory-based travel
• High school diploma required; additional education or hands-on practice management experience is preferred
• Must reside in Texas and live within reasonable distance to a major airport

Preferred Experience

• Field-based reimbursement support or experience in hub services, revenue cycle, or market access roles
• Familiarity with payer trends in Texas, including Medicaid, commercial, and Medicare Advantage plans
• CRM system experience and comfort tracking field activity metrics

Salary Range:

The salary range for this position is $90,000 – $120,000 per year, based on experience.

Interview Process:

• Initial Screening Call with TalentLNX
• Phone Interview with the Access Program Manager
• Final video or in-person interview with Regional Field Leadership, depending on location and scheduling.

Equal Opportunity Employer:

TalentLNX is committed to equal employment opportunity and prohibits discrimination and harassment of any kind. We are dedicated to building a diverse workforce and fostering an inclusive work environment where all employees and candidates are treated with respect and dignity. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or any other protected status under applicable law. We actively seek to recruit, develop, and retain talented individuals from diverse backgrounds, and we encourage all qualified candidates to apply for our job opportunities.