Senior Reimbursement Specialist

Provide high quality customer service as a Sr. Reimbursement Specialist.

Posted 7/1/2026full-timeRemote • 🇺🇸 United StatesSeniorWebsite

Key responsibilities & impact

Provide high quality customer service
Effectively interface with patients, patient’s families, national payers, home cares and medical doctor’s offices
Conduct benefit investigations, verify insurance benefits for patient and physicians’ offices
Submit and obtain prior authorizations as required by payer
Obtain recertification for cases requiring extended treatment/coverage beyond the expiration of original approval
Accurately enter and maintain data as required in client database and patient files
Utilize the client database to monitor outstanding items on each client case file
Ensure files are complete so team can determine the current status
Participate in conference calls as needed with Client Sales Representatives, client management and physicians’ offices regarding status of cases
Provide coordination of order for product, shipment of product, and therapy initiation with pharmacy and patient
Participate in Call Center Activities, triage and respond to incoming calls from patients, insurance companies, physicians, Sales Reps, pharmacies and homecare agencies
Educate patients, prescribers, and others regarding program requirements, and facilitate referrals
Maintain good housekeeping techniques, adhering to quality and production standards and comply with all applicable company, state, and federal safety and environmental programs and procedures

What you’ll need

High School Diploma/GED or equivalent experience
4 – 6 years’ experience in the insurance, biotechnology, or pharmaceutical industries; customer service and/or reimbursement.
Health Insurance claims or patient accounting experience a plus.
Computer proficiency in MS Office applications, with database experience a plus.
Excellent written and verbal communication skills, with demonstrated ability to communicate with others at all levels.
Ability to manage multiple priorities and meet deadlines.
Detail oriented with good analytical skills.
Knowledge of third party billing, coding, medical terminology, prior authorizations and appeals preferred.
Ability to travel as required - This is primarily a remote position; however, occasional travel may be required based on client, business, or training needs.

Comp & perks

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Insurance ClaimsPatient AccountingData EntryAnalytical SkillsDetail Oriented

Soft Skills

Excellent Communication SkillsAbility to Manage Multiple Priorities

Certifications

High School DiplomaGED