Support the patient journey by helping providers and patients navigate insurance benefits and prior authorizations. This role is ideal for detail-oriented professionals with healthcare or insurance experience who want to make an impact in patient access.
About CareMetx
CareMetx delivers patient access solutions through hub services, innovative technology, and decision-making data for pharmaceutical, biotechnology, and medical device innovators. We connect patients, providers, and payers to accelerate time-to-therapy and improve outcomes.
Schedule
- Full-time remote role
- Flexible schedule with occasional overtime
- Weekend work may be required to meet program demands
What You’ll Do
- Collect and review patient insurance benefit information in line with program SOPs
- Assist physician offices and patients in completing insurance forms and applications
- Submit and track prior authorizations with third-party payors
- Provide timely, accurate customer service to providers, payers, and patients
- Maintain frequent phone contact with provider representatives, pharmacies, and insurance companies
- Document all interactions in CareMetx Connect and report reimbursement trends/delays
- Provide all necessary documentation to expedite authorizations (demographics, referrals, NPI numbers, etc.)
- Work with inter-departmental associates to ensure seamless processes
- Report adverse events as required by SOP
What You Need
- High school diploma or GED required
- 1+ years of experience in specialty pharmacy, medical insurance, physician’s office, or related healthcare setting
- Strong knowledge of pharmacy and medical benefits, with familiarity in commercial and government payers preferred
- Excellent written and verbal communication skills
- Strong organizational and problem-solving abilities
- Proficiency in Microsoft Excel, Outlook, and Word
- Ability to work independently and as part of a team
Benefits
- Salary range: $30,490 – $38,960 annually
- Opportunity to make a direct impact on patient access to therapy
- Collaborative, mission-driven work environment
- Growth potential within a specialized healthcare services company
A chance to put your healthcare and insurance knowledge to work in a role that directly improves patient outcomes—apply today.
Turn your reimbursement expertise into meaningful support for patients and providers.
Happy Hunting,
~Two Chicks…