Reimbursement Specialist, Prior Authorization - Remote

Overview

The Reimbursement and Prior Authorization Specialist plays a crucial role in ensuring insurance preauthorizations and supporting billing operations to enhance cancer care.

In Short

• Act as a primary contact for insurance preauthorizations.
• Collaborate with billing and finance teams.
• Maintain a database of payer authorization requirements.
• Manage documentation related to payer communication.
• Track and resolve complex claims.
• Troubleshoot and escalate claim issues.
• Appeal non-covered claims.
• Ensure compliance with payer requirements.
• Support continuous improvement of billing processes.
• Work in a hybrid model with defined onsite days.

Requirements

• 0-2 years of experience in healthcare.
• Understanding of health plan regulations and billing processes.
• Excellent organizational skills and attention to detail.
• Ability to work independently in a fast-paced environment.
• Proficient in Excel.
• Experience with insurance relations preferred.
• Knowledge of laboratory billing is a plus.
• Experience with appeals processes is a plus.

Benefits

• Flexible hybrid work model.
• Competitive salary range.
• Opportunities for professional growth.
• Supportive work environment.
• Commitment to diversity and inclusion.
• Confidentiality in hiring processes.