Reimbursement Specialist

Job description

Reimbursement Specialist I Full Time / Portsmouth, NH At Novocure, we’re working to extend the lives of patients battling some of the most aggressive cancers. Every role here contributes to that mission — and as a Reimbursement Specialist I, you’ll help patients navigate critical reimbursement processes by supporting benefit verification, authorizations, claims follow-up, and resolution of reimbursement issues. ABOUT THE ROLE We are seeking a Reimbursement Specialist I to support core reimbursement activities that help confirm medical necessity, secure accurate payment, and reduce the financial impact on patients. In this role, you will conduct benefit investigations, submit and follow up on authorization and referral requests, address claim and authorization denials, support single case agreements, and partner with teams across Revenue Operations to help achieve departmental goals. This is a full-time, non-exempt position based in our Portsmouth, NH office and reports to the Supervisor or Manager of Reimbursement. The ideal candidate brings foundational knowledge of reimbursement workflows and is able to complete assigned work accurately and on time with limited supervision. WHAT YOU’LL DO · Conduct timely insurance benefit verifications to determine patient eligibility and cost-share responsibilities for new and existing patients · Accurately identify the appropriate bill-to insurance party · Submit prior authorization requests to insurance carriers and follow up by phone or through insurance portals with minimal supervision · Interpret authorization denials and draft appeals, when necessary, with limited supervision · Research and interpret commercial payer medical policies and coverage guidelines · Verify the presence and accuracy of authorizations and pricing agreements for insured patients · Differentiate between contract and non-contract carriers and identify contacts for potential letter of agreement (LOA) negotiations · Escalate contracting implementation challenges and identify opportunities for process improvement · Collaborate cross-functionally to support timely and accurate reimbursement from insurance providers · Follow up promptly on outstanding insurance balances by phone and through insurance websites · Investigate and resolve incorrect payments and escalate identified trends · Submit and track claim appeals related to payment disputes · Identify when a claims project may be needed · Communicate with key personnel at managed care organizations, including nurse case managers, to help streamline reimbursement processing for patients · Perform additional duties and respond to shifting priorities as assigned by management ABOUT YOU You are detail-oriented, persistent, and comfortable working through reimbursement issues that require accuracy, follow-through, and clear communication. You can navigate conversations with insurance companies and internal partners, de-escalate challenging situations, and stay organized in a fast-paced office environment. You work well independently with limited supervision while collaborating effectively across teams. You bring a working knowledge of medical and insurance terminology and are motivated by the opportunity to help reduce barriers for patients. Minimum Qualifications · Bachelor’s degree or equivalent experience preferred · 0–2 years of experience in a reimbursement-related function; DME-specific experience preferred · Demonstrated knowledge of medical and insurance terminology · Demonstrated effectiveness communicating with insurance companies regarding medical policies and contracts · Proven written and verbal communication skills with internal and external customers · Ability to effectively de-escalate and resolve difficult situations · Ability to work independently with limited supervision · Ability to work efficiently and cooperatively in a fast-paced office setting · Integrity and tenacity when working accounts Preferred Qualifications: · DME-specific reimbursement experience · In-depth knowledge of Microsoft Office and SAP HOW YOU’LL WORK · Based in our Portsmouth, NH office · Full-time, non-exempt position reporting to the Supervisor or Manager of Reimbursement · Collaborate closely with Revenue Operations and other internal teams to support reimbursement goals and patient needs · Manage multiple priorities with accuracy, timeliness, and limited supervision · Ability to lift up to 20 pounds WHAT WE OFFER The pay range which Novocure expects to pay for this role at the time of this posting is $55,000- $65,000/yr. This position may also be eligible for an annual bonus and restricted stock unit grant in addition to a full range of benefits. Individual compensation within this range depends on a variety of factors, including, but not limited to, prior education and experience, job-related knowledge and skills demonstrated. ABOUT NOVOCURE: Novocure is a company with a powerful mission, to extend the lives of people living with some of the most aggressive forms of cancer. Here your work will have a direct impact on patients and those who care about them. Join a team of passionate, collaborative people who support each other, challenge one another, and innovate together. Here, you’ll connect, grow, and make a real difference. We’re a company with the drive of a startup and the strength that comes with 25 years of success. Novocure operates at a rare crossroad, where advanced medical technology converges with cutting-edge biotechnology. We are the only company to develop and commercialize Tumor Treating Fields (TTFields), a proprietary, groundbreaking therapy designed to disrupt cancer cell division. With us you will find a unique combination of laboratory research work alongside engineering development of advanced technologies. This fusion of disciplines positions us as true pioneers in oncology innovation, leading a new frontier in the treatment of aggressive cancers. Our patient-forward values – innovation – focus – drive – courage – trust – empathy Novocure is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state, or local law. We actively seek qualified candidates who are protected veteran and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Novocure is committed to providing an interview process that is inclusive of our applicant’s needs. If you are an individual with a disability and would like to request an accommodation, please email If you're excited about this role, we encourage you to apply. #LI-KO1