Reimbursement Specialist I - Patient Access & Verification

Novocure; Portsmouth (NH); On-site; USD 43,000 - 58,000; Full time

Benefits offered by this job

Annual bonus

Restricted stock units

Job summary

Novocure in Portsmouth, NH is seeking a Reimbursement Specialist I to support core reimbursement activities, determine patient eligibility, verify benefits, submit and track prior authorizations, and address denials to reduce financial barriers for patients.

This full-time, non-exempt role reports to the Supervisor or Manager of Reimbursement and requires a detail-oriented, self-motivated individual with knowledge of medical terminology, strong communication skills, and the ability to work

Qualifications

• Bachelor’s degree or equivalent experience preferred.
• 0–2 years of experience in a reimbursement-related function; DME-specific experience preferred.
• Demonstrated knowledge of medical and insurance terminology.
• Demonstrated effectiveness communicating with insurance companies regarding medical policies and contracts.
• Proven written and verbal communication skills with internal and external customers.
• Ability to effectively de-escalate and resolve difficult situations.
• Ability to work independently with limited supervision.

Responsibilities

• Conduct timely insurance benefit verifications to determine patient eligibility and cost-share responsibilities for new and existing patients.
• Submit prior authorization requests to insurance carriers and follow up by phone or through insurance portals with minimal supervision.
• Interpret authorization denials and draft appeals, when necessary, with limited supervision.
• Research and interpret commercial payer medical policies and coverage guidelines.
• Verify the presence and accuracy of authorizations and pricing agreements for insured patients.
• Collaborate cross-functionally to support reimbursement goals and patient needs.
• Follow up promptly on outstanding insurance balances by phone and through insurance websites.

Skills

Detail-oriented

Strong communication

Independent worker

Education

Bachelor’s degree or equivalent experience

Tools

Microsoft Office

SAP

Job description

Novocure in Portsmouth, NH is seeking a Reimbursement Specialist I to support core reimbursement activities, determine patient eligibility, verify benefits, submit and track prior authorizations, and address denials to reduce financial barriers for patients.

This full-time, non-exempt role reports to the Supervisor or Manager of Reimbursement and requires a detail-oriented, self-motivated individual with knowledge of medical terminology, strong communication skills, and the ability to work