Support patients, providers, and payers by ensuring timely benefit investigations, prior authorization support, and accurate documentation. This role is ideal for detail-oriented professionals with healthcare or insurance experience.
About CareMetx
From intake to outcomes, CareMetx partners with pharmaceutical, biotechnology, and medical device innovators to improve the patient journey. By managing reimbursement services, identifying funding solutions, and supporting clinical needs, CareMetx helps patients access the therapies they need while providing innovative technology and decision-making data for clients.
Schedule
- Full-time, remote role
- Must be flexible with hours; overtime and weekend work may be required based on demand
What You’ll Do
- Collect and review patient insurance benefit information
- Assist physicians’ offices and patients with insurance forms and applications
- Submit and track prior authorization requests with payers
- Maintain regular phone contact with providers, payers, and pharmacies
- Provide timely, accurate customer service to providers, patients, and internal teams
- Document all interactions in CareMetx Connect system
- Report reimbursement delays or trends to supervisors
- Ensure adverse events are reported per SOP requirements
- Collaborate with departments to resolve issues and improve processes
What You Need
- High school diploma or GED required (Associate’s or higher preferred)
- 1+ years of experience in specialty pharmacy, medical insurance, physician office, or healthcare setting
- Knowledge of pharmacy and medical benefits; commercial and government payers a plus
- Strong organizational and communication skills
- Ability to problem-solve and manage multiple priorities with attention to detail
- Proficiency in Microsoft Excel, Word, and Outlook
- Customer-focused mindset with ability to work independently or as part of a team
Benefits
- Salary range: $30,490 – $38,960 annually (based on experience, skills, and location)
- Medical, dental, and vision insurance
- 401(k) retirement plan
- Paid time off and holidays
- Tuition reimbursement opportunities
- Career growth within a mission-driven organization
Join a team that works hard to ensure patients get the treatments they need by navigating complex insurance and reimbursement processes.
Make an impact in patient access with CareMetx.
Happy Hunting,
~Two Chicks…