Job Description
As an Insurance & Reimbursement Specialist, you will lead efforts to secure coverage and financial assistance for patients relying on complex, often costly, medication therapies. You'll be responsible for investigating insurance benefits, submitting prior authorizations, and identifying manufacturer or foundation assistance programs when needed.
Your work will include processing claims, managing appeals, and communicating with payers to resolve coverage issues. You'll collaborate with pharmacists, patient care coordinators, and providers to make sure patients can access and afford the medications they need.
This role requires a detail-oriented mindset and a strong understanding of both insurance processes and patient advocacy. By navigating coverage barriers and identifying assistance options, you'll help remove one of the biggest obstacles patients face in starting and staying on therapy.
What you'll bring
As an Insurance & Reimbursement Specialist, you'll take a proactive role in helping patients access the medications they need by navigating insurance requirements and assistance programs. You should be comfortable working with payers, submitting authorizations, and coordinating with our clinical team to resolve coverage barriers.
- 4–6 years of experience in pharmacy billing, medical billing, or reimbursement.
- Expertise in prior authorizations and benefits investigation.
- Knowledge of manufacturer and foundation assistance programs.
- Experience with HIPAA-compliant documentation.
- Ability to communicate clearly with insurers, providers, and patients.
Benefits
We recognize that reimbursement work requires patience and precision. Alongside a competitive package, you'll have access to training, a supportive team, and the satisfaction of directly helping patients access care.
- Health insurance and paid time off.
- On-the-job training in specialty pharmacy billing.
- Competitive hourly pay with review increases.
- Paid holidays.
- Collaborative team with growth opportunities.