Senior Reimbursement Specialist

Job Summary

Providing high-quality customer service, the full-time remote Senior Reimbursement Specialist will conduct benefit investigations, verify insurance benefits, and facilitate the reimbursement process for clients while ensuring comprehensive case management.

Key responsibilities

• Conduct benefit investigations and submit prior authorizations as required by payers
• Accurately enter and maintain data in client databases and monitor outstanding items on client case files
• Participate in calls with Client Sales Representatives and physicians' offices regarding case statuses and product orders

Required qualifications

• High School Diploma/GED or equivalent experience
• 4 - 6 years of experience in the insurance, biotechnology, or pharmaceutical industries, with a focus on customer service and reimbursement
• Proficiency in MS Office applications and experience with databases
• Knowledge of third-party billing, coding, medical terminology, prior authorizations, and appeals preferred
• Ability to manage multiple priorities and meet deadlines