Senior Reimbursement Specialist

Job Summary

Providing high-quality customer service, the full-time Senior Reimbursement Specialist will conduct benefit investigations, verify insurance benefits, and facilitate the reimbursement process for patients and medical providers in a remote environment.

Key responsibilities

• Conduct benefit investigations and submit prior authorizations for patients and physicians' offices
• Accurately maintain data in client databases and monitor outstanding items related to client case files
• Participate in conference calls with sales representatives and medical 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, particularly in customer service or reimbursement
• Proficiency in MS Office applications, with database experience preferred
• Knowledge of third-party billing, coding, medical terminology, and prior authorizations is preferred
• Ability to manage multiple priorities and meet deadlines effectively