Support patients and providers by managing benefit investigations and prior authorizations with accuracy and care.
About CareMetx
From Intake to Outcomes, CareMetx partners with pharmaceutical, biotech, and medical device innovators to improve patient access. We deliver hub services, innovative technology, and decision-making data to streamline reimbursement, connect providers, and ultimately support patients in getting the treatments they need.
Schedule
- Full-time, remote
- Flexible schedule; must be willing to work overtime or weekends if needed
- Salary range: $30,490 – $38,960
Responsibilities
- Collect and review patient insurance benefit information
- Assist physicians and patients in completing and submitting insurance forms and applications
- Submit prior authorization requests and track their progress
- Provide timely and professional customer service to providers, payers, and internal teams
- Document all interactions in CareMetx Connect system
- Report reimbursement trends and delays to supervisors
- Maintain frequent contact with provider reps, third-party payers, and pharmacy staff
- Ensure accurate and complete documentation to expedite prior authorizations
- Communicate effectively with payors to resolve coverage questions
- Escalate adverse events in alignment with SOP and training
- Collaborate with internal departments to resolve complex cases
Requirements
- High School Diploma or GED required
- At least 1 year of experience in specialty pharmacy, medical insurance, physician office, or healthcare setting
- Strong communication and customer service skills
- Proficiency with Microsoft Excel, Outlook, and Word
- Knowledge of pharmacy and medical benefits; familiarity with commercial and government payers preferred
- Ability to work independently and as part of a team
- Strong problem-solving, negotiation, and organizational skills
- Detail-oriented with solid time management skills
Benefits
- Competitive salary ($30,490 – $38,960)
- Health, dental, and vision coverage
- Paid time off and holidays
- 401(k) retirement plan
- Opportunity to work in a mission-driven healthcare environment
Join a team that helps patients access the therapies they need by bridging the gap between providers, payers, and life sciences partners.
Happy Hunting,
~Two Chicks…