Source Job

United States

  • Conduct benefit investigations, insurance verification, and prior authorizations to secure timely patient access to therapies.
  • Manage patient case files, coordinate product ordering and shipment with pharmacies and prescribers.
  • Handle inbound inquiries, report adverse events, and educate stakeholders on program requirements.

Microsoft Office Case Management

20 jobs similar to Sr. Reimbursement Specialist - Patient Access Services Hub

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US 4w PTO 2w paternity

  • Verify insurance eligibility and benefits for all new Boulder Care commercial enrollments.
  • Answer incoming questions from patients about balances due and non-covered charges.
  • Serve as subject matter expert for internal insurance training and identify billing errors.

Boulder Care is an award-winning digital clinic for addiction medicine, recognized for innovation and high quality of patient care. Named by Fortune as one of the Best Workplaces in Healthcare, Boulder fosters a culture of kindness, respect, and meaningful work.

US

  • Deliver high-quality customer service in a healthcare environment, handling inbound and outbound calls to resolve claims, benefits, and coverage inquiries.
  • Research and document member and provider issues, escalate complex cases, and ensure timely follow-up across systems.
  • Maintain strict confidentiality of sensitive information while adapting communication for diverse audiences including members, clinics, and vendors.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies efficiently. It operates as a partner recruiting organization, facilitating applications and next steps for roles like this one.

US

  • Investigate and resolve insurance claim denials, handling 50 to 100 denials daily with speed and accuracy.
  • Partner with payers to secure timely reimbursement and interpret LCD/NCD requirements for CPT/HCPCS-related denials.
  • Provide top-tier phone support to patients, insurance companies, and internal teams while using payer portals and clearinghouses.

IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions like rheumatoid arthritis, Crohn’s disease, and multiple sclerosis. We foster a culture of respect, empowerment, and shared purpose, with a team committed to patient-centered outcomes and values such as Be Kind and Do What’s Right.

US

  • Manage insurance account workflows and ensure accurate resolution of billing and reimbursement issues.
  • Investigate, resolve, and appeal insurance denials while documenting actions in compliance with standards.
  • Monitor aged accounts receivable and prioritize workloads to optimize collections and reduce outstanding balances.

Our partner is a healthcare services organization focused on revenue cycle management. They offer a collaborative and mission-driven environment with a comprehensive benefits package.

Global

  • Obtain and manage insurance authorizations for residents receiving skilled nursing and rehabilitation services.
  • Monitor authorization status, track expiration dates, and submit timely extension requests to prevent coverage gaps.
  • Collaborate with clinical, admissions, and payer representatives to ensure timely approvals and accurate documentation.

Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging a global network, they connect clients with qualified professionals and offer tailored services to meet unique business needs.

Canada

  • Serve as the primary point of contact for physicians, clinics, and healthcare stakeholders, ensuring consistent communication and trusted relationships.
  • Support healthcare providers in navigating patient assistance programs, including enrollment, reimbursement, and therapy access processes.
  • Manage and complete all required documentation such as special authorizations, prescription renewals, and enrollment forms with accuracy and timeliness.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use technology to ensure fair and efficient recruitment processes, and foster inclusive employee programs.

US

  • Process referrals to MTM team and schedule appointments for patients.
  • Provide phone support and document patient information in electronic health records.
  • Assist with prior authorizations and billing to help patients access affordable medications.

UnityPoint Health is a healthcare system providing medical services. It is recognized as a Top 150 Place to Work in Healthcare and offers a supportive culture for team members.

US

  • Handle inbound and outbound calls to ensure patient satisfaction, troubleshoot concerns, and explain insurance coverage.
  • Obtain and process authorizations for reorders, resolve patient issues, and ensure accurate reorder processing via phone and document processing.
  • Maintain patient documentation, insurance requirements, and company procedures with high confidentiality.

CCS is a strategic partner addressing America's healthcare challenges through intelligent chronic care management, focusing on diabetes and chronic conditions. Recognized as a Great Place to Work®, they support over 200,000 people nationwide with home-delivered medical supplies and pharmaceuticals.

US

  • Perform billing data entry and verification using 10-key skills to ensure accuracy.
  • Research and resolve missing or incorrect billing information through communication with clients and patients.
  • Verify insurance information and update demographic data to prompt timely payment from insurers.

Labcorp is a global leader in diagnostic testing and drug development solutions, providing insights that help healthcare providers, researchers, and patients make informed decisions. With nearly 70,000 employees serving clients in more than 100 countries, the company fosters a culture of innovation and continuous improvement.

US

  • Ensure accurate and timely billing and reimbursement by submitting clean claims to primary and secondary payers
  • Review, correct, and resubmit rejected or denied claims, track accounts receivable, and maintain detailed AR status reporting
  • Communicate regularly with insurance companies, providers, and internal teams to resolve billing issues and verify insurance eligibility

LUX Infusion reimagines infusion care to be more human, supportive, and connected, guiding patients through complex therapies. As a clinician-led U.S. organization, they foster an inclusive culture where every team member feels valued and empowered.

US

  • Answer incoming calls and direct callers to the appropriate team member or document information in claim files.
  • Provide professional customer service, manage conflict effectively, and communicate with individuals related to claim files.
  • Complete outbound calls to report claims to insurance carriers and adhere to company policies and procedures.

Enterprise Mobility is a family-owned portfolio of brands and a leading provider of mobility solutions worldwide, operating a global network with 80,000 dedicated team members across nearly 100 countries. The company empowers its team with opportunities for growth and rewards hard work.

United States 2w PTO

  • Review and analyze insurance denials using EOBs, payer correspondence, and claims data to determine appropriate resolution strategies.
  • Differentiate between clinical and technical denials and identify required next steps for appeals or reprocessing.
  • Prepare and submit appeals using supporting documentation such as medical records, appeal letters, and clinical justification when necessary.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They use automated technology to review applications and share top-fitting candidates directly with employers, ensuring a fair and efficient hiring process.

US

  • Serve as primary point of contact for specialty pharmacy patients from enrollment through therapy adherence, handling benefits verification and prior authorization.
  • Manage a caseload independently, perform outbound calls, and coordinate with pharmacy partners to ensure accurate therapy and shipment status.
  • Maintain strict patient confidentiality per HIPAA, recognize and report adverse events, and follow program-specific protocols.

Caretria provides patient support services for specialty pharmacy patients, focusing on enrollment, benefits verification, and care coordination. The company values empathy, urgency, and accuracy, and offers a comprehensive benefits package to its employees.

United States

  • Ensures accuracy and timeliness of patient financial records, including payment posting, insurance follow-up, and revenue integrity.
  • Monitors work queues, resolves payer discrepancies, and supports provider enrollment and revalidation activities.
  • Assists with charge review and correction using Epic workflows to improve reimbursement accuracy and cash flow.

This position is listed on behalf of a partner company that manages all applications and next steps for a healthcare revenue cycle environment. The role supports multiple Patient Financial Services functions within a large, process-driven healthcare organization.

US

  • Support patients across outpatient, inpatient, and surgical care settings by explaining insurance coverage and financial responsibilities.
  • Assess patient financial situations and determine eligibility for assistance programs like Medicaid and charity care.
  • Collaborate with clinical teams and administrative leadership to support discharge planning when financial concerns arise.

The company provides patient financial counseling services to healthcare organizations, helping patients navigate insurance and financial barriers. Its size and culture are not specified in the posting.

US

  • Collaborate with a multidisciplinary care team to ensure quality, member-centered care and assist members with navigating and applying for entitlement benefits.
  • Become an expert on available insurance and social service resources within assigned region, and provide cross-state coverage support as needed.
  • Maintain timely documentation in electronic health records and participate in ongoing continuing education.

Groups provides assistance to members in accessing Medicaid, Marketplace, and Medicare insurance and other entitlement benefits. The company values member-centered care and harm-reduction practices, with a team-oriented and entrepreneurial culture.

Georgia 2w PTO

  • Review claim files to determine coverage and develop collection strategies with insurance partners and customers.
  • Negotiate with responsible parties and interpret facts of loss to establish settlement strategies.
  • Maintain accurate account records, update system notes, and make decisions for settlement strategy.

Enterprise Mobility is a family-owned portfolio of brands and leading provider of mobility solutions worldwide. Founded over 60 years ago, it operates a global network with 80,000 dedicated team members across nearly 100 countries.

Global

  • Answer inbound and outbound patient calls professionally and schedule appointments.
  • Verify insurance eligibility, assist with prior authorizations, and coordinate referrals.
  • Maintain accurate patient records in SimplePractice EHR and ensure HIPAA compliance.

The client operates in the behavioral health space and is focused on delivering high-quality patient-centered care. SnappyCX is a remote staffing company that connects healthcare professionals with US-based clients.

United States

  • Guide employees through voluntary benefits education and enrollment via in-person, phone, and web platforms.
  • Complete benefit applications with focus on accuracy, compliance, and confidentiality.
  • Deliver high-quality customer service while managing high-volume enrollment during peak periods.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. As a service provider, it facilitates recruitment by processing applications and sharing shortlists with employers.

US

  • Manage a caseload of complex workers' compensation cases including litigation and disability.
  • Investigate claims to determine compensability, establish reserves, and manage medical treatment.
  • Collaborate with clients, legal counsel, and healthcare professionals to resolve claims.

Berkley Risk provides program administration and insurance services for self-insured entities. It is a member company of W. R. Berkley Corporation, a Fortune 500 firm, offering a competitive compensation and robust benefits package.