Patient Access & Reimbursement Specialist

Caremetx-LL; United States; On-site; USD 55,000 - 75,000; Full time

Job summary

CareMetx in the United States seeks a Patient Access Consultant to oversee reimbursement activities, claims submission, and copay assistance, working with patients, providers, and client teams to ensure timely therapy starts. The role emphasizes strong communication, detailed analysis of denial trends, and coordination with field teams to deliver seamless patient support and compliant billing.

Applicants should have relevant healthcare billing experience and an ability to manage multiple tasks

Qualifications

• High school diploma or GED required.
• Two-year associate degree or equivalent combination of experience and education preferred.
• Five or more years of related experience; a four-year degree is preferred.

Responsibilities

• Handle reimbursement activities including billing, claims submission and copay assistance.
• Coordinate with patients, providers and client teams to resolve inquiries and meet SLAs.
• Analyze denial trends, track payments, and resolve complex accounts with minimal supervision.
• Provide training and support to internal colleagues on processes and systems.

Skills

Communication

Relationship building

Interpersonal skills

Analytical thinking

Attention to detail

Organizational skills

Pharmacy operations knowledge

Medical claims knowledge

Healthcare billing knowledge

Education

High school diploma or GED

Associate degree or equivalent in business/healthcare

Bachelor's degree preferred

Tools

Microsoft Excel

Outlook

Word

Job description

CareMetx in the United States seeks a Patient Access Consultant to oversee reimbursement activities, claims submission, and copay assistance, working with patients, providers, and client teams to ensure timely therapy starts. The role emphasizes strong communication, detailed analysis of denial trends, and coordination with field teams to deliver seamless patient support and compliant billing.

Applicants should have relevant healthcare billing experience and an ability to manage multiple tasks