Reimbursement Specialist II
St. Jude Children's Research Hospital
Memphis, TN, USA
Posted on May 23, 2026
Every day here at St. Jude is a little different, with a mix of tasks. Behind each one is a real patient, so the work you do makes a big impact.
We’re looking for a thoughtful, detail-oriented Reimbursement Specialist II who feels comfortable in a busy hospital or medical office environment and can keep up with a high volume of work without losing accuracy or customer and patient focus.
This job is a great fit for someone who understands healthcare billing—things like claims, EOBs, insurance details, patient responsibility, CPT codes—and can confidently connect the dots when questions come up. Experience with systems like EPIC or similar, and Workday is helpful, but not required.
In this role, you’ll spend your day working in the Outpatient Services/Programs (OPS) database, handling invoices, coordinating outside referrals from Epic, reviewing submitted bills, and staying on top of emails and follow-ups. It’s not a repetitive, “same thing every day” kind of job—there’s a lot of research and problem-solving involved, so strong critical-thinking skills really matter.
You’ll be communicating regularly with a variety of people, including clinical staff, patients and family members, insurance representatives, and vendors, so being clear, professional, and approachable goes a long way.
And while the work is independent, you’ll be part of a supportive team that truly works well together and is always there to help!
Overall, this is an excellent opportunity for someone who enjoys figuring things out, taking ownership of their work, and being part of a team that has each other’s backs.
The Reimbursement Specialist II is responsible for assisting with the coordination of Affiliate Program (AP).
Main tasks include: Payment activities, timely processing of invoices, outside professional services and contractual terms, and timely entry of payments/refunds into the centralized database.
-Maintains a current listing of approved providers, contact information, and discounting agreements.
-Interprets existing provider contracts and agreements when approving invoices for review.
-Assures invoices meet hospital requirements, medical care guidelines, and/or Office of Inspector General (OIG) ruling expectations and follows-up as needed.
-Maintains a working relationship with clients conducive to the nurturing of new/renewal contracts with clients.
-Assists in the maintenance and enhancement of various databases to meet unique/specific financial, clinical, and administrative needs.
-Ensures that patients and their guardians are assisted with any questions or problems in a timely manner.
If you have at least 2 years of experience and a high school diploma, please read the entire job description and see if you'd be a good fit for our team!
Hybrid schedule eligible/considered.
We’re looking for a thoughtful, detail-oriented Reimbursement Specialist II who feels comfortable in a busy hospital or medical office environment and can keep up with a high volume of work without losing accuracy or customer and patient focus.
This job is a great fit for someone who understands healthcare billing—things like claims, EOBs, insurance details, patient responsibility, CPT codes—and can confidently connect the dots when questions come up. Experience with systems like EPIC or similar, and Workday is helpful, but not required.
In this role, you’ll spend your day working in the Outpatient Services/Programs (OPS) database, handling invoices, coordinating outside referrals from Epic, reviewing submitted bills, and staying on top of emails and follow-ups. It’s not a repetitive, “same thing every day” kind of job—there’s a lot of research and problem-solving involved, so strong critical-thinking skills really matter.
You’ll be communicating regularly with a variety of people, including clinical staff, patients and family members, insurance representatives, and vendors, so being clear, professional, and approachable goes a long way.
And while the work is independent, you’ll be part of a supportive team that truly works well together and is always there to help!
Overall, this is an excellent opportunity for someone who enjoys figuring things out, taking ownership of their work, and being part of a team that has each other’s backs.
The Reimbursement Specialist II is responsible for assisting with the coordination of Affiliate Program (AP).
Main tasks include: Payment activities, timely processing of invoices, outside professional services and contractual terms, and timely entry of payments/refunds into the centralized database.
-Maintains a current listing of approved providers, contact information, and discounting agreements.
-Interprets existing provider contracts and agreements when approving invoices for review.
-Assures invoices meet hospital requirements, medical care guidelines, and/or Office of Inspector General (OIG) ruling expectations and follows-up as needed.
-Maintains a working relationship with clients conducive to the nurturing of new/renewal contracts with clients.
-Assists in the maintenance and enhancement of various databases to meet unique/specific financial, clinical, and administrative needs.
-Ensures that patients and their guardians are assisted with any questions or problems in a timely manner.
If you have at least 2 years of experience and a high school diploma, please read the entire job description and see if you'd be a good fit for our team!
Hybrid schedule eligible/considered.
Responsibilities:
- Execute assigned tasks related to managed care (e.g., provider enrollment and credentialing, claims, payor issues) within own area of responsibility, with limited guidance; address standard requests and queries for timely resolution.
- Coordinate with internal teams to collect information and create relevant documentation (e.g., enrollment and credentialing, claims) & standard reports.
- Provide assistance for resolution of any denials related to contractual, enrollment or credentialing issues in a timely manner.
- Perform other duties as assigned to meet the goals and objectives of the department and institution.
- Maintains regular and predictable attendance.
Minimum Education and/or Training:
- High school diploma/GED required.
Minimum Experience:
- Minimum Requirement: 2+ years of experience (in an academic or research setting, preferred).
- Some experience in healthcare office environment with some understanding of managed care contract and reimbursement models.
Licensure, Registration and/or Certification Required by Law:
- None
Licensure, Registration and/or Certification Required by SJCRH Only:
- None
Special Skills, Knowledge and Abilities:
- Seeks to understand customer needs by asking clarifying questions.
- Prioritizes responses to customer queries.
- Solves routine customer problems as per processes, and seeks guidance, if needed for quick resolution.
- Shows general awareness of relevant regulatory requirements related to own work.
- Understands and supports standard process requirements for compliance within own area.
- Shows some understanding of relevant compliance regulations and it's importance in own area within finance.
- Questions, clarifies, and provides explanations as needed.
- Checks documents and reports for clarity and accuracy.
- Seeks and provides information within and outside team in a timely manner.
- Addresses problems in a structured, logical approach.
- Asks for guidance and tries out new ideas when changes in approach are required.
- Adapts quickly and positively; learns from mistakes.
- Plans around multiple tasks and priorities well within own work.
- Is able to cope with unexpected changes in routine and delivers planned outcomes on time.
- Escalates issues/problems and seeks support in a timely manner.
- Exhibits basic understanding of managed care processes and managed care contracting requirements & tools.
- Performs standard tasks within own area (e.g., documentation, contributing to reports), under supervision.
- Has basic understanding of medical software systems, tools and processes.
- Performs standard tasks (e.g., of data recording and reporting on medical record data management systems), under supervision.
Physical Demands and Working Conditions:
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job, the employee is regularly required to stand; walk; sit; kneel, use hands to finger, handle, or feel; and talk or hear.
- The employee must occasionally lift and/or move up to 25 pounds.
- Specific vision abilities required by this job include close vision, depth perception and the ability to adjust focus.
- The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The noise level in the work environment is usually quiet.
- An essential function of the job is to be able to comply with all applicable federal, state and local safety and health regulations that would apply to this job.
- The employee must move about the work space to access work surface and shelves, cabinets, drawers, and equipment that are at, below or above the work surface.
- Nothing in this job description limits management’s right to assign or reassign duties and responsibilities to this job at any time as business needs dictate. This job description reflects management’s assignment of essential functions; it does not proscribe or restrict the tasks that may be assigned. The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor is it intended to be an all-inclusive list of the skills and abilities required to do the job.
Compensation
In recognition of certain U.S. state and municipal pay transparency laws, St. Jude is including a reasonable estimate of the compensation range for this role. This is an estimate offered in good faith and a specific salary offer takes into account factors that are considered in making compensation decisions including but not limited to skill sets, experience and training, licensure and certifications, and other business and organizational needs. It is not typical for an individual to be hired at or near the top of the salary range and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current salary range is $24.00 - $42.00 per hour for the role of Reimbursement Specialist II.Explore our exceptional benefits!
No Search Firms
St. Jude Children's Research Hospital does not accept unsolicited assistance from search firms for employment opportunities. Please do not call or email. All resumes submitted by search firms to any employee or other representative at St. Jude via email, the internet or in any form and/or method without a valid written search agreement in place and approved by HR will result in no fee being paid in the event the candidate is hired by St. Jude.