Help patients actually get access to the meds and treatments their doctors prescribe. This fully remote reimbursement role lets you work behind the scenes with providers, payers, and pharmacies to clear insurance roadblocks and move prior authorizations forward.
About CareMetx
CareMetx partners with pharmaceutical, biotech, and medical device companies to support patients from intake to outcomes. They provide tech-enabled hub services that handle reimbursement, benefits, and access so patients can start and stay on specialty therapies. The focus is on smoothing out a confusing system and getting people the care they need faster.
Schedule
- Location: Remote (U.S.)
- Hours: Must be flexible on schedule and hours
- Weekends: Willingness to work weekends when needed to meet business demands
- Overtime: May be required at times based on volume and program needs
What You’ll Do
- Collect and review patient insurance benefit information according to program SOPs
- Support provider offices and patients in completing and submitting insurance forms and program applications
- Prepare, submit, and track prior authorization requests with commercial and government payers
- Maintain frequent phone contact with provider reps, payer customer service, and pharmacy staff
- Triage inbound calls, respond to provider account inquiries, and document all interactions in the CareMetx Connect system
- Provide exceptional customer service and escalate complex or unresolved issues appropriately
- Process insurance and patient correspondence tied to reimbursement and prior auth
- Supply complete documentation needed for payer decisions, including demographics, referrals, NPI, and authorization details
- Report reimbursement trends or delays to program leadership
- Coordinate with internal teams to resolve issues and keep cases moving
- Report all Adverse Events (AE) in line with training and 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
- Strong verbal and written communication skills
- Ability to build productive working relationships with providers, payers, and internal teams
- Solid organizational skills and strong attention to detail
- General knowledge of pharmacy and medical benefits; familiarity with commercial and government payers preferred
- Comfortable using Microsoft Excel, Outlook, and Word
- Ability to problem solve and use judgment within standard operating procedures
- Strong time management skills and the ability to handle a moderate workload with competing priorities
- Customer-focused mindset and comfort working independently or as part of a team
Benefits
- Salary range: 30,490.45 to 38,960.02 dollars per year
- Fully remote work environment
- Opportunity to build experience in a specialized, high-impact niche of healthcare access and reimbursement
- Work that supports patients getting critical specialty medications and therapies
If you want a remote role where your attention to detail actually helps people get care, this is worth a serious look.
Make your next job one that moves patients forward, not just paperwork.
Happy Hunting,
~Two Chicks…