Remote Patient Access & Reimbursement Navigator

CareMetx, LLC; United States; Remote; USD 34,000 - 43,000; Full time

Benefits offered by this job

Work from home

Flexible schedule

Job summary

CareMetx seeks a Patient Navigator to guide patients and caregivers through therapy access, coordinating with the Hub, Specialty Pharmacy, and payors to secure coverage and timely delivery.

The role emphasizes reimbursement navigation, patient communication, data entry in CRM, and maintaining compliance. A bachelor’s degree and 5+ years in reimbursement are preferred; bilingual English/Spanish is a plus. This is a remote, work-from-home position with flexible scheduling.

Qualifications

• Bachelor’s Degree preferred (general business, health sciences, public policy, or related)
• Minimum 5 years of reimbursement experience (benefits investigation, prior authorization, medical benefit, Medicaid)
• Bilingual with fluency in Spanish preferred

Responsibilities

• Acts as a single point of contact for providers, patients and product/sales team.
• Help patients gain access to therapy and coordinate with Hub and Specialty Pharmacy for coverage.
• Provide information on reimbursement options and financial assistance.
• Coordinate access to therapies and follow up with support services.
• Maintain case history for all assigned patients in CRM.
• Resolve ongoing reimbursement issues (insurance changes, PA’s) and support field team.
• Attend in-person onboarding training for 3 days and maintain regular attendance.
• Some travel may be required.

Skills

Excellent communication

Customer care

Analytical skills

Bilingual English/Spanish

Education

Bachelor’s Degree

Job description

CareMetx seeks a Patient Navigator to guide patients and caregivers through therapy access, coordinating with the Hub, Specialty Pharmacy, and payors to secure coverage and timely delivery.

The role emphasizes reimbursement navigation, patient communication, data entry in CRM, and maintaining compliance. A bachelor’s degree and 5+ years in reimbursement are preferred; bilingual English/Spanish is a plus. This is a remote, work-from-home position with flexible scheduling.