Remote Reimbursement Specialist – Payer & Insurance Support

eTeam; Cambridge (MA); Remote; USD 40,000 - 52,000; Part time

Job summary

eTeam is seeking a Reimbursement Support Specialist for a 6-month, fully remote assignment in the Cambridge, MA area. You will collaborate with Case Management to facilitate insurance reimbursement workflows, verify coverage, and support prior authorizations for the Rare Blood Disorders portfolio.

The role requires 1–3 years in healthcare reimbursement, experience with CRM systems, and strong MS Office skills. A BA/AA degree is preferred and confidentiality with PHI/PII is essential.

Qualifications

• AA degree required; Bachelor's preferred.
• 1-3 years’ experience in health insurance reimbursement or equivalent.
• Discretion handling patient personal data (PII/PHI).
• Proficient with MS Word, MS Excel and MS PowerPoint.
• Experience with Client CRM preferred.

Responsibilities

• Verify insurance coverage policies with providers and ensure prompt, accurate information.
• Identify prior authorization processes and provide documents to Case Management.
• Follow up with payers to determine status of prior authorizations.
• Re-verify insurance benefits as needed for patients.
• Research denied/partial claims to address barriers to treatment.
• Document interactions and data in the CRM per HIPAA requirements.

Skills

MS Word

MS Excel

MS PowerPoint

Communication

Problem-solving

Negotiation

Education

AA Degree

Bachelor's degree

Tools

Client CRM

Job description

eTeam is seeking a Reimbursement Support Specialist for a 6-month, fully remote assignment in the Cambridge, MA area. You will collaborate with Case Management to facilitate insurance reimbursement workflows, verify coverage, and support prior authorizations for the Rare Blood Disorders portfolio.

The role requires 1–3 years in healthcare reimbursement, experience with CRM systems, and strong MS Office skills. A BA/AA degree is preferred and confidentiality with PHI/PII is essential.