Play a vital role in supporting the patient journey by managing reimbursement processes for specialty products and medical devices. CareMetx is hiring Reimbursement Specialists to provide benefit investigations, prior authorization support, and customer service that makes a difference.
About CareMetx
CareMetx partners with pharmaceutical, biotechnology, and medical device innovators to simplify patient access to therapy. From intake to outcomes, we provide hub services, innovative technology, and decision-making data that streamline the patient journey. Our mission is to remove barriers to care and ensure patients get the treatments they need.
Schedule
- Full-time remote role
- Flexible schedule; overtime and occasional weekend work may be required
What You’ll Do
- Collect and review patient insurance benefit information
- Assist providers and patients with insurance forms and program applications
- Submit and track prior authorization requests
- Provide exceptional customer service to providers, payers, pharmacies, and patients
- Document all interactions in the CareMetx Connect system
- Monitor reimbursement trends and escalate delays when needed
- Collaborate with cross-functional teams to ensure accurate and timely benefit investigations
What You Need
- High school diploma or GED required
- 1+ years of experience in a healthcare setting (specialty pharmacy, insurance, physician’s office, etc.)
- Strong communication, interpersonal, and organizational skills
- Knowledge of pharmacy and medical benefits, with understanding of commercial and government payers preferred
- Proficiency in Microsoft Excel, Outlook, and Word
- Ability to work independently, problem-solve, and manage time effectively
Benefits
- Salary range: $30,490 – $38,960 per year
- Comprehensive benefits package, including health, dental, and vision insurance
- Opportunities for professional growth in a mission-driven healthcare company
Help patients access life-changing treatments by ensuring reimbursement processes are accurate and efficient.
Your chance to make an impact starts here.
Happy Hunting,
~Two Chicks…