Reimbursement Specialist I - Collections Focus

The Reimbursement Specialist I-collections is responsible for following core reimbursement processes to ensure the accurate pricing and adjudication of DME claims, obtaining accurate payment, and minimizing the financial burden on Novocure and our patients. This position is focused on claims follow-up and denial resolution and will collaborate with and support the other Revenue Operations functional teams.

This is a full-time, non-exempt position reporting to the Supervisor, Reimbursement, and is based in our Portsmouth, NH office.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Knowledge of how to perform insurance benefit verifications to confirm active coverage
• Ability to follow up on outstanding insurance balances via phone and insurance website promptly
• 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
• Identifies the need for a claims project
• Verify the presence of and accuracy of prior authorizations and pricing agreements for all patients with insurance
• Identify and escalate contracting implementation challenges and opportunities
• Perform all other duties or priorities assigned by management as needed

QUALIFICATIONS/KNOWLEDGE:

• Associate degree or equivalent experience preferred
• 0-2 years experience in a reimbursement-related function, DME-specific experience preferred
• Maintain integrity and tenacity while working on 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
• Familiarity with medical policies and payer contracts preferred
• Familiarity with basic medical and insurance terminology preferred
• Familiarity with Microsoft Office and SAP preferred
• Fundamental written and verbal communication skills with internal and external customers
• Fundamental customer service skills

OTHER:

• Ability to lift up to 20 pounds

Equal Opportunity Employer, including disability/veterans.

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

- innovation

- focus

- drive

- courage

- trust

- empathy

#LI-ER