Sr. Reimbursement Specialist - 4 Month Fixed Term

Accountabilities

• • Conduct benefit investigations and verify insurance coverage for patients and physician offices, submitting and obtaining prior authorizations and recertifications when required.
  • Maintain accurate patient records and case data, monitoring outstanding items and ensuring files are complete and up to date.
  • Coordinate with sales representatives, management teams, healthcare providers, and other stakeholders regarding case status, product orders, and alternative funding.
  • Coordinate product orders, shipment arrangements, and therapy initiation with pharmacies and patients to help ensure timely treatment.
  • Participate in call center activities, responding to inquiries from patients, insurance companies, physicians, sales representatives, pharmacies, and homecare agencies.
  • Serve as a primary point of contact for assigned prescribers, providing consistent communication and case support.
  • Identify and report events in accordance with applicable REMS requirements, including adverse events, product quality complaints, and potential risk events.
  • Educate patients, prescribers, and other stakeholders on program requirements and facilitate appropriate referrals.
  • Maintain high standards of quality, productivity, documentation, confidentiality, and compliance with applicable company, state, and federal requirements.
  • Manage multiple patient cases and priorities simultaneously while meeting deadlines and maintaining a high level of customer service.
  • Participate in the required virtual training program and maintain perfect attendance during the initial six-week, cameras-on training period.

  Requirements

  • High School Diploma, GED, or equivalent professional experience.
  • 4–6 years of experience in insurance, biotechnology, pharmaceuticals, reimbursement, or customer service; experience with health insurance claims or patient accounting is a plus.
  • Practical knowledge of reimbursement processes, third-party billing, medical coding, prior authorizations, appeals, and medical terminology is preferred.
  • Strong computer skills, including proficiency with Microsoft Office applications; experience working with databases is an advantage.
  • Excellent written and verbal communication skills, with the ability to communicate effectively with patients, healthcare providers, payers, and internal stakeholders.
  • Strong customer service skills and the ability to interact professionally and empathetically with patients and their families.
  • Excellent attention to detail and analytical skills, particularly when reviewing insurance information and maintaining patient case documentation.
  • Ability to manage multiple priorities, monitor case progress, and meet deadlines in a fast-paced environment.
  • Strong organizational skills and the ability to work independently while following established processes and quality standards.
  • Ability to learn and apply complex program, reimbursement, and compliance requirements.
  • Availability to work Monday through Friday on either an 8:00 AM–5:00 PM ET or 9:00 AM–6:00 PM ET schedule.
  • Ability to commit to six weeks of virtual, cameras-on training with perfect attendance at the beginning of the contract.

  Benefits

  • Fixed-term contract: October 1, 2026 through February 28, 2027.
  • Fully remote work within the United States, with equipment provided.
  • Potential opportunity to transition into a full-time position depending on business openings and strong performance.
  • Competitive salary.
  • Flexible work environment.
  • 401(k) with company match.
  • Medical, dental, and vision coverage.
  • Health Savings Account and Flexible Spending Account options.
  • 20 days of paid time off.
  • Paid holidays.
  • Employee assistance programs.
  • Telemedicine and virtual healthcare appointments.
  • Wellness program.
  • Tuition reimbursement.
  • Adoption assistance.
  • Short-term and long-term disability coverage.
  • Life insurance.
  • Employee discount programs.
  • Opportunities for professional growth and advancement.
  • Inclusive workplace culture focused on respect, accountability, innovation, quality, integrity, and collaboration.