Help patients get access to the therapies they need, without ever stepping into an office. This remote Reimbursement Specialist role lets you use your healthcare and insurance knowledge to guide providers and patients through the coverage maze so treatment is not delayed or denied.
About CareMetx
From Intake to Outcomes, CareMetx partners with pharmaceutical, biotechnology, and medical device companies to support patients through every step of their access journey. The company provides hub services, innovative technology, and data-driven solutions that help make specialty therapies more reachable and affordable. CareMetx is mission focused, growing, and committed to doing right by both patients and employees.
Schedule
- Remote position
- Full-time role
- Must be flexible with schedule and hours
- Overtime may be required at times
- May include occasional weekend work to meet program or client demands
What You’ll Do
- Collect and review patient insurance benefit information according to program SOPs
- Complete and submit all required insurance forms and program applications for benefit investigations and prior authorizations
- Track and follow up on prior authorization requests, ensuring timely and accurate processing
- Provide exceptional customer service to providers, office staff, payers, and patients by phone and in writing
- Maintain frequent contact with provider reps, third-party customer service reps, and pharmacy staff
- Document all interactions with providers, payers, and clients in the CareMetx Connect system
- Report reimbursement trends, delays, or issues to your supervisor
- Coordinate with internal departments to resolve access, reimbursement, or documentation issues
- Communicate clearly with payors to complete accurate, timely benefit investigations
- Report all Adverse Events in alignment with training and Standard Operating Procedures
- Handle other related duties as assigned while working independently within established SOPs
What You Need
- High school diploma or GED
- At least 1 year of experience in a specialty pharmacy, medical insurance, physician’s office, healthcare setting, or similar environment
- Strong verbal and written communication skills
- Ability to build productive working relationships with internal teams and external partners
- Solid organizational skills, attention to detail, and strong time management
- General knowledge of pharmacy and medical benefits; understanding of commercial and government payers preferred
- Ability to problem solve and work through issues with minimal supervision
- Proficiency with Microsoft Excel, Outlook, and Word
- Comfortable working both independently and as part of a team
- Customer satisfaction focused, with a professional and patient mindset
Benefits
- Salary range: 30,490.45 to 38,960.02 USD annually
- Opportunity to grow in a niche, in-demand field of healthcare reimbursement
- Mission-driven work directly supporting patients’ access to specialty therapies
Roles like this do not sit open for long, especially fully remote reimbursement positions, so if this sounds like you, get your application in soon.
If you are looking for a remote healthcare role where your attention to detail genuinely helps patients get care, this is a strong next step.
Happy Hunting,
~Two Chicks…