Senior Reimbursement Specialist

Job Summary

To support patient access to pharmaceutical products, the full-time Senior Reimbursement Specialist will manage benefit investigations, verify insurance coverage, and coordinate orders while working remotely.

Key responsibilities:

• Conduct benefit investigations and submit prior authorizations for patients and physicians
• Maintain accurate data in client databases and monitor the status of client case files
• Participate in communication with healthcare providers and clients regarding case statuses and product shipments

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