Top 14 Authorization specialist Jobs in York, Me

Reimbursement Specialist l
Novocure —Portsmouth, NH
- $43,000 - $58,000 a year
- Full-time
- Research
- Mid-level
- Office
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Medical Office Specialist
Portsmouth Internal Medicine Associates —Portsmouth, NH
- Full-time
- Internal Medicine
- Mid-level
- Employee stock purchase plan
- Disability insurance
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Medical Office Specialist
Atlantic Surgical Associates —Portsmouth, NH
- Full-time
- Surgery
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
1d
Medical Office Specialist
Pulmonary Associates —Portsmouth, NH
- Full-time
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
8d
Core - Patient Access Representative
Core Physicians LLC —Exeter, NH
- Day shift
- Mid-level
- High school diploma or GED
- Organizational skills
- Free parking
- Opportunities for advancement
8d
Patient Care Coordinator / Medical Scheduler
New England Cancer Specialists —Portsmouth, NH
- Full-time
- Private practice
- Mid-level
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Traveling Oral Surgery Coordinator
42 North Dental —Rochester, NH
- $30 - $40 an hour
- Dental office
- Surgery
- HIPAA
- Dental insurance
Medical Office Specialist
Portsmouth Cardiology Associates —Rochester, NH
- Full-time
- Mid-level
- Cardiology
- Employee stock purchase plan
- Disability insurance
Quick Apply
Medical Front Office - Patient Service Specialist
Saco Bay PT —Wells, ME
- $18 - $20 an hour
- Full-time
- Physical & Rehabilitation Medicine
- High school diploma or GED
- Clinic
- Health insurance
- Dental insurance
Medical Assistant - Oncology
New England Cancer Specialists —Kennebunk, ME
- Full-time
- Private practice
- BLS Certification
- Urgent Care
- Wellness program
- Paid holidays
Quick Apply
Front Office & Dental Insurance Support
Associates in family dentistry —Rochester, NH
- $22 - $25 an hour
- Full-time
- Dental office
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Clinic/Practice Assistant, Vascular Surgery
Wentworth-Douglass Hospital —Portsmouth, NH
- $17.71 - $24.94 an hour
- Full-time
- Surgery
- Hospital
- Writing skills
- Opportunities for advancement
Quick Apply

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Clinical Support Specialist
Spurwink Services —Portland, ME
This individual will provide administrative support to our clinical staff by performing data entry, client outreach, developing, and maintaining spreadsheets,…
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Reimbursement Specialist l

Novocure -
Portsmouth, NH

Apply Now

Job Details

Full-time
$43,000 - $58,000 a year
2 days ago

Benefits

Qualifications

De-escalation techniques
Conflict de-escalation
Research
Medical terminology
Cross-functional communication

Full Job Description

Location:
Portsmouth, NH, US, 03801

#job-location.job-location-inline { display: inline; }

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 $43,000- $58,000/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 [email protected]

If you're excited about this role, we encourage you to apply.

#LI-KO1

Nearest Major Market: Portsmouth
Nearest Secondary Market: Boston

Apply Now

Refine Your Search

authorization specialist jobs in york, me

Reimbursement Specialist l

Medical Office Specialist

Medical Office Specialist

Medical Office Specialist

Core - Patient Access Representative

Patient Care Coordinator / Medical Scheduler

Traveling Oral Surgery Coordinator

Medical Office Specialist

Medical Front Office - Patient Service Specialist

Medical Assistant - Oncology

Front Office & Dental Insurance Support

Clinic/Practice Assistant, Vascular Surgery

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