Reimbursement Specialist - Patient Access

Novocure; Portsmouth (NH); On-site; USD 55,000 - 65,000; Full time

Benefits offered by this job

Annual bonus

RSU grant

Benefits

Job summary

Novocure seeks a Reimbursement Specialist I in Portsmouth, NH to support benefit verifications, authorizations, and claims follow-up. You’ll work with Revenue Operations to secure medical necessity and reduce patient financial burden.

The role emphasizes accurate workflow, communication with insurers, and independent work with limited supervision in a dynamic office setting. DME experience is a plus. This is a full-time, on-site position.

Qualifications

• Bachelor’s degree or equivalent experience preferred.
• 0–2 years of reimbursement-related experience; DME-specific experience preferred.
• Knowledge of medical and insurance terminology.
• Strong written and verbal communication with internal and external customers.
• Ability to work independently with limited supervision; de-escalation when needed.

Responsibilities

• Conduct timely insurance benefit verifications to determine patient eligibility and cost-share.
• Accurately identify the appropriate bill-to insurance party.
• Submit prior authorization requests to insurance carriers and follow up by phone or portal 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.
• Differentiate between contract and non-contract carriers and identify contacts for LOA negotiations.
• Escalate contracting implementation challenges and identify opportunities for process improvement.
• Collaborate cross-functionally to support reimbursement from insurance providers.
• Follow up on outstanding insurance balances by phone and through insurance websites.
• Investigate and resolve incorrect payments and identify trends.
• Submit and track claim appeals related to payment disputes.
• Identify when a claims project may be needed.
• Communicate with key personnel at managed care organizations, including nurse case managers.
• Perform additional duties and respond to shifting priorities as assigned by management.

Skills

Communication

Medical terminology

Insurance terminology

Independence

De-escalation

Education

Bachelor’s degree or equivalent experience

Tools

Microsoft Office

SAP

Job description

Novocure seeks a Reimbursement Specialist I in Portsmouth, NH to support benefit verifications, authorizations, and claims follow-up. You’ll work with Revenue Operations to secure medical necessity and reduce patient financial burden.

The role emphasizes accurate workflow, communication with insurers, and independent work with limited supervision in a dynamic office setting. DME experience is a plus. This is a full-time, on-site position.