Reimbursement Specialist Supervisor

🕒 June 2

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $25 - $38 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 45%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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VCU Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

VCU Health is an academic medical center dedicated to advancing medicine and improving community health. With over 800 physicians across 200 clinical specialties, it offers a wide range of services including cancer care, heart and vascular services, neurosciences, orthopaedics, pediatrics, emergency care, and telehealth. VCU Health integrates cutting-edge technology and clinical expertise to make medical advancements a reality. It operates various hospitals and comprehensive care centers, including the VCU Medical Center in Downtown Richmond and the Children's Hospital of Richmond. VCU Health also emphasizes research and clinical trials to push the boundaries of what's possible in medicine.

📋 Description

• Supervise, coordinate, and prioritize the workflow of Reimbursement Specialists across multiple clinics • Provide direct line supervision, including performance evaluations, disciplinary action, time/attendance, staff activity coordination, hiring, interviewing, onboarding, and training • Monitor team productivity and compliance with turnaround times; provide feedback and coaching • Review complex or escalated prior authorizations and appeals for documentation and regulatory compliance • Collaborate with providers, nursing staff, and the Patient Assistance Program team to ensure timely medication access • Identify process improvements to optimize team efficiency and patient care outcomes • Prepare and review reports on team performance, PA approvals/denials, and workload metrics • Ensure compliance with departmental and health system policies and regulatory requirements • Participate in special projects and cross-functional initiatives • Serve as a point of contact for internal and external escalations related to PAs, appeals, or patient access concerns • Provide assistance to team members and accept alternate assignments as required

🎯 Requirements

• Remote to Virginia ONLY • Must have active VA Pharmacy license in good standing • Must have active PTCB certification in good standing • High School Diploma or equivalent • Minimum of three (3) years of experience as a Reimbursement Specialist or equivalent role • Previous experience supervising or mentoring staff • Strong knowledge of PAPs, prior authorizations, and insurance benefit investigations • Proficiency in EMR systems and Microsoft Office • Associate’s Degree or higher in Business, Healthcare Administration, or related field preferred • Additional supervisory or leadership certifications a plus • Strong leadership and communication skills • Ability to handle multiple priorities and high-volume workload