Destava

Specialty Medication Reimbursement Specialist

CLS Health PLLC is hiring for Specialty Medication Reimbursement Specialist in Webster, TX. Mid level. First seen October 24, 2026; open as of November 8, 2026. Jobs taken straight from company career pages — no aggregator in between.

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Company
CLS Health PLLC
Where
Webster, TX
Level
Mid
First seen
October 24, 2026
Listed via
Paylocity

What the posting says

Position Summary Audits infusion and specialty medication claims to find out what got paid, what didn't, and why, then fixes the root cause. This role works payers, manufacturer programs, and internal billing to recover revenue and prevent repeat denials. Responsibilities: - Monitor unbilled and unpaid infusion and specialty medication encounters and keep claims moving to timely submission - Audit paid claims against expected reimbursement using payer fee schedules and drug allowables (ASP, WAC, contracted rates) - Work denials and underpayments and identify the cause: authorization,…

Read more and apply on CLS Health PLLC's site