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Reimbursement Specialist *Four Positions*

at Novocure

Posted: 7/2/2019
Job Status: Full Time
Job Reference #: 1108766

Job Description

  • Finance/Legal
  • Portsmouth, NH, USA
  • Salary
  • Full Time

The Reimbursement Specialist is responsible for managing core reimbursement processes to confirm medical necessity and accurate pricing, and obtaining accurate payments to minimize the financial burden for patients. This position will be responsible for collaborating with and supporting the other Revenue Operations functional teams. This is a full-time, non-exempt position reporting to the Senior Manager of Billing Operations and is based in Portsmouth, NH.


Essential Duties & Responsibilities:

        Complete insurance benefit verifications to confirm active coverage

        Consistently follow-up on outstanding insurance balances via phone and insurance website in a timely manner

       Investigate and resolve all incorrect payments and escalate trended changes in behavior as identified

       Submit and track the status of claim appeals for payment disputes

       Verify presence of and accuracy of prior authorizations and pricing agreements for all patients with insurance

       Identify and escalate contracting implementation challenges and opportunities

       Build and maintain relationships with key personnel within health insurance organizations to effectively process patient accounts

       Perform all other duties or priorities assigned by management as needed



       Bachelors degree or equivalent experienece preferred

       0-3 years experience in a reimbursement-related function, DME-specific experience preferred   

       Familiarity with medical policies and payer contracts preferred

       Familiarity with basic medical and insurance terminology preferred

       Familiarity with Microsoft Office and SAP preferred


Knowledge, Skills, and Behaviors:

       Strong written and verbal communication skills with internal and external customers

       Strong customer service skills

       Maintain integrity and tenacity while working accounts               

       Ability to understand and escalate difficult situations

       Ability to collaborate with key internal and external teams

       Ability to solve problems and set priorities

       Ability to work independently with minimal supervision

       Ability to work efficiently and cooperatively in a fast-paced office setting

Working Condition:
       Ability to lift 20 pounds


About Novocure

Our vision

Patient-forward: aspiring to make a difference in cancer.


Our patient-forward mission

Together with our patients, we strive to extend survival in some of the most aggressive forms of cancer by developing and commercializing our innovative therapy.


Our patient-forward values