Reimbursement Specialist II

Job description

Reimbursement Specialist II Portsmouth, NH / Full Time / Non-Exempt / Permanent At Novocure, we are patient-forward, aspiring to make a difference in cancer. 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. WHAT YOU’LL DO: - Independently manage a personal reimbursement workload to confirm medical necessity and secure accurate insurance payments - Conduct timely insurance benefit verifications for new and existing patients - Submit and follow up on authorization requests and claims via phone and payer portals - Interpret authorization and claim denials and draft appeals - Research and interpret commercial payer medical policies and coverage guidelines - Verify accuracy of authorizations, pricing agreements, and bill-to insurance information - Differentiate between contract and non-contract carriers and support LOA negotiations - Investigate and resolve incorrect payments and escalate reimbursement trends - Submit and track claim appeals and payment disputes through resolution - Collaborate cross-functionally to ensure timely reimbursement - Identify trends in authorizati...