Help patients get the therapies and devices they need by navigating insurance coverage, prior authorizations, and reimbursement challenges.
About CareMetx
CareMetx partners with pharmaceutical, biotechnology, and medical device innovators to support patients throughout their treatment journey. From intake to outcomes, we provide hub services, innovative technology, and reimbursement expertise that make a real impact in healthcare access.
Schedule
- Full-time, remote role
- Must be flexible with hours, including occasional weekends and overtime to meet program demands
Responsibilities
- Collect and review patient insurance benefit information as outlined in program SOPs
- Assist physician offices and patients with completing and submitting insurance forms and applications
- Submit prior authorizations to third-party payors, track requests, and follow up to ensure timely approvals
- Respond to provider account inquiries, documenting all interactions in the CareMetx Connect system
- Provide excellent customer service and escalate complaints when appropriate
- Maintain frequent phone contact with providers, payors, and pharmacy staff
- Report reimbursement delays or trends to supervisors
- Support interdepartmental communication to expedite cases
- Process correspondence and provide all necessary documentation to support prior authorizations
- Adhere to AE (Adverse Event) reporting requirements in alignment with SOPs
- Perform other duties as assigned
Requirements
- High School diploma or GED required
- 1+ years of experience in specialty pharmacy, medical insurance, physician’s office, or healthcare setting
- Strong knowledge of pharmacy and medical benefits (commercial and government payers preferred)
- Excellent verbal and written communication skills
- Strong organizational skills with attention to detail
- Ability to problem-solve and manage time effectively
- Comfortable working independently and in team settings
- Proficiency with Microsoft Excel, Outlook, and Word
Compensation & Benefits
- Salary range: $30,490 – $38,960 annually
- Comprehensive benefits package
- Flexible work schedule
- Opportunity to grow in a mission-driven healthcare company
Make a direct impact in helping patients access critical treatments. At CareMetx, we work hard, believe in what we do, and strive to support both patients and employees with integrity and care.
Happy Hunting,
~Two Chicks…