Senior Reimbursement Specialist

Job Summary

Providing high-quality customer service, the full-time Senior Reimbursement Specialist will conduct benefit investigations, verify insurance benefits, and assist patients and medical providers in expediting the reimbursement process for client products.

Key responsibilities

• Conduct benefit investigations and submit prior authorizations as required by payers
• Accurately maintain data in client databases and monitor outstanding items on client case files
• Participate in conference calls with sales representatives and physicians regarding case statuses and drug orders

Required qualifications

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