Sr. Reimbursement Specialist - 4 Month Fixed Term in New York at Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Sr. Reimbursement Specialist – 4 Month Fixed Term based in United States.

This role offers the opportunity to support patients and healthcare providers throughout the reimbursement and treatment initiation process.
You will serve as a key point of contact for patients, families, payers, pharmacies, homecare agencies, and medical offices.
Your work will help navigate insurance benefits, prior authorizations, recertifications, and alternative funding to facilitate timely access to therapy.
You will manage detailed patient cases while ensuring accurate documentation, strong follow-up, and compliance with program requirements.
The position combines customer service, reimbursement expertise, healthcare coordination, and careful case management.
It is an ideal opportunity for a detail-oriented professional who thrives in a structured, fast-paced environment and wants to make a direct impact on patient outcomes.
This is a fully remote, fixed-term position supporting an annual reverification season, with the potential for a future full-time opportunity based on performance and available openings.

• Conduct benefit investigations and verify insurance coverage for patients and physician offices, submitting and obtaining prior authorizations and recertifications when required.
• Maintain accurate patient records and case data, monitoring outstanding items and ensuring files are complete and up to date.
• Coordinate with sales representatives, management teams, healthcare providers, and other stakeholders regarding case status, product orders, and alternative funding.
• Coordinate product orders, shipment arrangements, and therapy initiation with pharmacies and patients to help ensure timely treatment.
• Participate in call center activities, responding to inquiries from patients, insurance companies, physicians, sales representatives, pharmacies, and homecare agencies.
• Serve as a primary point of contact for assigned prescribers, providing consistent communication and case support.
• Identify and report events in accordance with applicable REMS requirements, including adverse events, product quality complaints, and potential risk events.
• Educate patients, prescribers, and other stakeholders on program requirements and facilitate appropriate referrals.
• Maintain high standards of quality, productivity, documentation, confidentiality, and compliance with applicable company, state, and federal requirements.
• Manage multiple patient cases and priorities simultaneously while meeting deadlines and maintaining a high level of customer service.
• Participate in the required virtual training program and maintain perfect attendance during the initial six-week, cameras-on training period.

• High School Diploma, GED, or equivalent professional experience.
• 4–6 years of experience in insurance, biotechnology, pharmaceuticals, reimbursement, or customer service; experience with health insurance claims or patient accounting is a plus.
• Practical knowledge of reimbursement processes, third-party billing, medical coding, prior authorizations, appeals, and medical terminology is preferred.
• Strong computer skills, including proficiency with Microsoft Office applications; experience working with databases is an advantage.
• Excellent written and verbal communication skills, with the ability to communicate effectively with patients, healthcare providers, payers, and internal stakeholders.
• Strong customer service skills and the ability to interact professionally and empathetically with patients and their families.
• Excellent attention to detail and analytical skills, particularly when reviewing insurance information and maintaining patient case documentation.
• Ability to manage multiple priorities, monitor case progress, and meet deadlines in a fast-paced environment.
• Strong organizational skills and the ability to work independently while following established processes and quality standards.
• Ability to learn and apply complex program, reimbursement, and compliance requirements.
• Availability to work Monday through Friday on either an 8:00 AM–5:00 PM ET or 9:00 AM–6:00 PM ET schedule.
• Ability to commit to six weeks of virtual, cameras-on training with perfect attendance at the beginning of the contract.

• Fixed-term contract: October 1, 2026 through February 28, 2027.
• Fully remote work within the United States, with equipment provided.
• Potential opportunity to transition into a full-time position depending on business openings and strong performance.
• Competitive salary.
• Flexible work environment.
• 401(k) with company match.
• Medical, dental, and vision coverage.
• Health Savings Account and Flexible Spending Account options.
• 20 days of paid time off.
• Paid holidays.
• Employee assistance programs.
• Telemedicine and virtual healthcare appointments.
• Wellness program.
• Tuition reimbursement.
• Adoption assistance.
• Short-term and long-term disability coverage.
• Life insurance.
• Employee discount programs.
• Opportunities for professional growth and advancement.
• Inclusive workplace culture focused on respect, accountability, innovation, quality, integrity, and collaboration.