Reimbursement Specialists

1 month ago

Wilmington, North Carolina, United States WillHire Full time

~~~Please note: This is a temporary contractor opportunity at Novartis ~~~
Novartis touches the lives of a tenth of the world's population. Every role here, regardless of contract type, makes an impact on human life

Novartis US partners with external managed service provider Magnit Global to offer engaging temporary contractor opportunities like this, to those who are looking for flexibility in their career while looking to gain new skills and experiences providing services to an inclusive global medicines company. Click here to learn more about Magnit

Ready to work with/through Magnit at Novartis? Please read on...
Reimbursement Specialist - Possible Temp to Hire~~

Ability to work the scheduled work hours, which generally will be an 8-hour schedule with two paid rest breaks and an unpaid lunch break. Schedule 1 hours: 8 am – 5 pm ET, Schedule 2 hours: 10 am – 7 pm ET, Monday through Friday. Subject to change.

Training is a mix of on-site in East Hanover, NJ and virtual for from 8/9am – 5pm and will be 8-10 weeks.

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

Travel requirements:
Proximity and ability to commute to work onsite in East Hanover as required by our hybrid model for occasional meetings or events. To be scheduled at the discretion of the business.
This job requires you live within 90 miles of the East Hanover site of Novartis.

Other Work Requirements:
When working from home, a quiet dedicated space with where the employee can work without interruption
Ability to work the scheduled work hours, which generally will be an 8-hour schedule with two paid rest breaks and an unpaid lunch break. Schedule 1 hours: 8 am – 5 pm ET, Schedule 2 hours: 10 am – 7 pm ET, Monday through Friday. Subject to change.
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.

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.

Location: East Hanover, NJ (Hybrid)
Pay Rate: $ $27.58/hour
Contract: 10+ months
Health, dental, vision, 401k

Why Novartis?
766 million lives were touched by Novartis medicines in 2021, and while we're proud of this, we know there is so much more we could do to help improve and extend people's lives.
We believe new insights, perspectives and ground-breaking solutions can be found at the intersection of medical science and digital innovation. That a diverse, equitable and inclusive environment inspires new ways of working.
We believe we can reinvent what's possible when we collaborate with courage to ambitiously tackle the world's toughest medical challenges. Because the greatest risk in life, is the risk of never trying
Imagine the impact you could make here at Novartis

Commitment to Diversity & Inclusion:
Novartis is committed to building an outstanding, inclusive work environment with diverse teams representative of the patients and communities we serve.
To do our best work we need different viewpoints, which is why here at Magnit, we celebrate diversity and embrace inclusion. As an equal opportunity employer, Magnit is dedicated to building a team that represents a variety of backgrounds, perspectives, and skills. We strive to ensure that we maintain a positive and enriching work environment for all.

Accommodation:
If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to Magnit at or

Commitment to Diversity and Inclusion / EEO

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