Reimbursement Specialist I - Prior Authorization - Remote

Overview

As a Reimbursement and Prior Authorization Specialist, you are vital to our success. You will collaborate across teams to secure insurance preauthorizations, streamline billing operations, and ensure accurate and complete documentation, supporting our mission to advance cancer care.

In Short

• Act as a primary contact for insurance companies.
• Collaborate with billing systems and client services teams.
• Maintain a database of payer authorization requirements.
• Manage documentation related to payer communication.
• Track and resolve complex claims.
• Troubleshoot Explanation of Benefits (EOBs).
• Appeal non-covered claims.
• Ensure compliance with payer requirements.
• Support continuous improvement of billing processes.

Requirements

• 0-2 years of experience in the healthcare industry.
• Strong understanding of health plan regulations.
• Excellent organizational skills and attention to detail.
• Self-motivated with the ability to work independently.
• Tech-savvy with proficiency in Excel.

Benefits

• Competitive salary range.
• Opportunity to work in a leading precision oncology company.
• Collaborative work environment.
• Support for continuous improvement in processes.
• Potential for career growth in the healthcare sector.