Senior Reimbursement Specialist

Job Summary

Providing high-quality customer service, the full-time Senior Reimbursement Specialist will manage benefit investigations, verify insurance benefits, and coordinate patient therapy initiation while working remotely.

Key responsibilities

• Conduct benefit investigations and manage prior authorizations for patient treatments
• Accurately maintain client database and patient files to monitor case statuses
• Participate in coordination efforts with healthcare providers and manage incoming calls from various stakeholders

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; database experience is a plus
• Knowledge of third-party billing, medical terminology, and prior authorizations preferred
• Ability to manage multiple priorities and meet deadlines effectively