Sr. Reimbursement Specialist - Patient Access Services Hub
New
United StatesFull-TimeSenior
Salary not disclosed
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Job Details
- Experience
- 4–6 years
- Required Skills
- Microsoft Office
Requirements
- High school diploma or GED.
- 4–6 years of experience in insurance, biotechnology, pharmaceutical services, reimbursement, or patient support services.
- Strong knowledge of insurance claims processes, third-party billing, prior authorizations, and appeals.
- Proficiency in Microsoft Office tools.
- Experience working with databases or case management systems.
- Excellent written and verbal communication skills.
- Strong attention to detail and analytical thinking.
- Ability to manage multiple priorities in a fast-paced environment.
- Familiarity with medical terminology and healthcare reimbursement workflows.
Responsibilities
- Conduct benefit investigations and insurance verification for patients and healthcare providers.
- Manage prior authorizations and recertifications to secure timely approvals.
- Maintain accurate patient case files and ensure data integrity within internal databases.
- Coordinate product ordering and shipment by liaising with pharmacies and prescribers.
- Manage inbound inquiries from patients, insurers, and providers as a primary point of contact.
- Identify and report adverse events and product quality issues per regulatory standards.
- Educate stakeholders on program processes and requirements.
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