Senior Reimbursement Specialist

Job Summary

Providing high-quality customer service, the full-time Senior Reimbursement Specialist will conduct benefit investigations, verify insurance, and facilitate patient access to client products while working remotely.

Key responsibilities

• Conduct benefit investigations and obtain prior authorizations for patients and physicians
• Maintain accurate data in client databases and monitor outstanding items on client case files
• Coordinate product orders and therapy initiation with pharmacies and patients, while participating in call center activities

Required qualifications

• High School Diploma/GED or equivalent experience
• 4 - 6 years' 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, coding, medical terminology, and prior authorizations preferred
• Ability to manage multiple priorities and meet deadlines