Reimbursement Specialist
4 weeks ago
Title: Reimbursement Specialist 1
Duration: 06 Month Contract (Hybrid)
Location: East Hanover, NJ
Max PR: $27.00
Job Description
The Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed Novartis medicines. They will accurately and efficiently find the patient’s insurance coverage, and any other requirements by leveraging reimbursement tools and collaborating with payers and providers.
The Reimbursement Specialist may also share appropriate information with Patient Specialty Services field teams. This information may cover coverage-related queries from customers, provide pre-authorizations for medical treatment, and outline information regarding co-payments.
The Reimbursement Specialist must have strong communication skills to converse with payors and providers about benefits coverage and be able to offer solutions in accordance with approved procedures.
A Reimbursement Specialist will possess an aptitude for learning and continual development.
Your responsibilities will include, but are not limited to:
Develop and maintain knowledge of PSS programs and payer coverage; broaden program knowledge over time.
Learn and utilize protocols, information and technology to gather patient coverage information. Some of this will be completed via phone calls to payers in a prompt and courteous manner.
Prepare proper documentation and notifications; perform proper escalation, tracking, and follow-up
Evolve skills to navigate the payer landscape regarding Novartis programs over time
As applicable, raise innovative ideas which will drive improved efficiency and effectiveness of customer service to Team Leads.
What you’ll bring to the role:
Education:
High School Diploma required
Other Work Requirements:
When working from home, a quiet dedicated space with where the employee can work without interruption
For Patient Support Center (PSC) Roles with a Dedicated Training Period: The individual hired for this role will be required to successfully complete initial training, including passing simulations and become certified to do the role.
Experience:
Required Experience:
~6 months of proven Reimbursement Experience (such as Healthcare, Payers or Pharmaceuticals,)
Experience and exposure in balancing multiple priorities with multiple audiences
Experience working with data entry system(s), fax machines, computer software, and telephone technology
Strong phone and verbal communication skills – ability to follow oral and written directions
Good problem-solving and critical thinking skills
Ability to interpret, capture and document the details of payer conversations, in a timely and efficient manner
Computer literacy with email, video conferencing systems and data entry systems
Preferred Experience:
1 year of Reimbursement Specialist experience within a Customer Contact Center in the Pharmaceuticals industry
Therapeutic area experience:
No therapeutic area experience required.
-
Reimbursement Specialist
3 weeks ago
East Hanover, United States Randstad Life Sciences Full time $27Job DescriptionJob DescriptionTitle: Reimbursement Specialist 1 Duration: 6 months Pay Rate : $27.50/hr on W2 Location - East Hanover, NJ 07936Shift: Actual hours will be 8 am-5 pm EST shiftTraining is a mix of on-site in East Hanover, NJ and virtual for from 8am-5pm EST and will be 8-10 weeks. Overview:The Reimbursement Specialist will be responsible for...
-
Reimbursement Specialist
2 weeks ago
East Hanover, United States Randstad Life Sciences Full time $26 - $27Job DescriptionJob DescriptionJob Title - Reimbursement Specialist I Duration: 6 months Hours: 8am-5pm EST shift shift during training as well as after training.Pay Rates: $27.58/hrLocation - East Hanover, NJHIRING TIMELINE:Resume Submittals - 07/25 - 08/16Interviews Conducted - 07/29 - 08/23Last Offer Deadline - 08/28Background Checks Conducted -...
-
Reimbursement Specialist
3 weeks ago
East Hanover, United States Randstad Life Sciences US Full timeJob Details:Title: Reimbursement Specialist I Duration: 6 months Pay Rate: $27.58/hrSHIFT : 8am-5pm EST shift shift during training as well as after training.Location - East Hanover, NJ 07936 Job Description:The Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed Novartis...
-
Reimbursement Specialist
4 weeks ago
East Hanover, United States Randstad Life Sciences US Full timeJob Details:Title: Reimbursement Specialist I Duration: 6 months Pay Rate: $27.58/hrSHIFT : 8am-5pm EST shift shift during training as well as after training.Location - East Hanover, NJ 07936 Job Description:The Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed Novartis...
-
Reimbursement Specialist
1 month ago
East Hanover, United States Randstad Life Sciences US Full timeJob Title - Reimbursement Specialist I Duration: 6 months Hours: 8am-5pm EST shift shift during training as well as after training.Pay Rates: $27.58/hrLocation - East Hanover, NJHIRING TIMELINE:Resume Submittals - 07/25 - 08/16Interviews Conducted - 07/29 - 08/23Last Offer Deadline - 08/28Background Checks Conducted - 08/28 - 09/13Background Check Completed...
-
Reimbursement Specialist
5 days ago
East Hanover, New Jersey, United States Synectics Full timeReimbursement SpecialistSynectics is seeking a highly skilled Reimbursement Specialist to fill a critical role in our organization. As a Reimbursement Specialist, you will play a key part in providing support and information about insurance coverage for prescribed medicines.Key Responsibilities:Provide accurate and efficient support to patients and...
-
Insurance Reimbursement Coordinator
1 week ago
East Hanover, New Jersey, United States Randstad Life Sciences US Full timePosition Overview:Title: Reimbursement Specialist IDuration: 6 monthsCompensation: $27.58/hrShift: 8am-5pm EST during training and post-trainingLocation: East Hanover, NJRole Summary:The Reimbursement Specialist is tasked with delivering support and insights regarding insurance coverage for prescribed medications. This role requires the accurate...
-
Insurance Reimbursement Coordinator
1 week ago
East Hanover, New Jersey, United States Randstad Life Sciences US Full timePosition Overview:Title: Reimbursement Specialist IDuration: 6 monthsCompensation: $27.58/hrShift: 8am-5pm EST during training and post-trainingLocation: East Hanover, NJRole Summary:The Reimbursement Specialist is tasked with delivering support and insights regarding insurance coverage for prescribed medications. This role involves accurately identifying...
-
Claims Specialist
3 months ago
East Hanover, United States Randstad Life Sciences US Full timeTitle: Reimbursement Specialist 1 Duration: 6 months Pay Rate : $27.50/hr on W2 Location - East Hanover, NJ 07936Shift: Actual hours will be 8am-5pm EST shiftTraining is a mix of on-site in East Hanover, NJ and virtual for from 8am – 5pm and will be 8-10 weeks.Overview:The Reimbursement Specialist will be responsible for providing support and information...
-
Patient access specialist
2 months ago
East Hanover, United States Randstad Full timejob summary: As the world's largest staffing and recruitment agency in the world, we can commit to find you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Utilizing a recruiter for your job search gives you access to a large network of top employers as well as detailed information about hundreds of positions. We...
-
Patient Care Representative
2 weeks ago
East Hanover, United States Randstad Life Sciences Full time $25 - $27Job DescriptionJob DescriptionTitle: Reimbursement Specialist 1Duration: 06 Month Contract (Hybrid)Location: East Hanover, NJMax PR: $27.00 Job DescriptionThe Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed Novartis medicines. They will accurately and efficiently find the...
-
Patient Care Representative
2 weeks ago
East Hanover, United States Randstad Life Sciences Full time $25 - $27Job DescriptionJob DescriptionTitle: Reimbursement Specialist 1Duration: 06 Month Contract (Hybrid)Location: East Hanover, NJMax PR: $27.00 Job DescriptionThe Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed Novartis medicines. They will accurately and efficiently find the...
-
Patient Account Representative
2 months ago
East Hanover, United States Randstad Life Sciences US Full timeReimbursement Specialist I 6 months Hours are 8am-5pm EST shift shift during training as well as after training.Pay Rates: $27.58/hrLocation - East Hanover, NJ Job DescriptionThe Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed medicines. They will accurately and efficiently...
-
MDS/Clinical Reimbursement Coordinator
3 days ago
East Brunswick, United States CareOne Full timeAbout the RoleCareOne is seeking a highly skilled MDS Coordinator LPN to join our team as a Clinical Reimbursement Specialist. In this role, you will play a critical part in ensuring the accuracy and completeness of Minimum Data Set (MDS) assessments and Care Plans for our residents.Key ResponsibilitiesDirect the Resident Assessment Process by assisting with...
-
Imaging Specialist
2 weeks ago
Hanover, Pennsylvania, United States UPMC Full timeJoin UPMC as an Imaging Specialist! We are excited to offer a sign-on bonus of $10,000 for new hires with less than one year of experience, and $15,000 for those with more than one year of experience, both requiring a 2-year commitment. As an Imaging Specialist, you will be part of a dedicated team focused on delivering exceptional patient care. We seek...
-
Travel Nurse RN Specialist
11 hours ago
Hanover, Pennsylvania, United States KPG Healthcare Full timeJob Title: Travel Nurse RN SpecialistJob Summary:KPG Healthcare is seeking a skilled Travel Nurse RN Specialist to join our team for a travel nursing assignment in a Cardiovascular Operating Room (CVOR) setting. As a Travel Nurse RN Specialist, you will have the opportunity to work with a reputable healthcare organization and gain valuable experience in a...
-
Production Specialist
2 months ago
Hanover, United States Lawton Standard Full timeJob DescriptionJob DescriptionPenn-Mar Castings in Hanover PA is looking for Foundry Production Specialist.Are you a reliable employee looking for an exciting career in a growing organization? We are a foundry looking for production team members for multiple positions and shifts. What’s in it for you?Steady WorkCareer in a high demand tradeCompetitive...
-
Production Specialist
3 weeks ago
Hanover, United States Lawton Standard Full time $18Job DescriptionJob DescriptionPenn-Mar Castings in Hanover PA is looking for Foundry Production Specialist.Are you a reliable employee looking for an exciting career in a growing organization? We are a foundry looking for production team members for multiple positions and shifts. What’s in it for you?Steady WorkCareer in a high demand tradeCompetitive...
-
Contracting Specialist
2 months ago
Hanover, United States Johns Hopkins Medicine Full timeJohns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a hybrid role requiring you to come in only 1 day per...
-
House Cleaning Specialist
3 days ago
Hanover, Massachusetts, United States Merry Maids Full timeAbout the Role:Merry Maids is seeking a reliable and detail-oriented individual to join our team as a House Cleaning Specialist. As a key member of our team, you will be responsible for providing exceptional cleaning services to our clients, ensuring their homes are clean and sanitized to the highest standards.Responsibilities:Perform general cleaning and...
