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 authorization denials and suggest process improvements
• Support achievement of team KPIs including authorization and claim resolution rates

ABOUT YOU

• Bachelor’s degree or equivalent experience preferred
• 3–5 years of reimbursement-related experience; DME experience preferred
• Strong knowledge of medical and insurance terminology
• Proven ability to communicate effectively with insurance companies
• Ability to work independently with limited supervision
• Strong written and verbal communication skills
• Ability to manage multiple priorities in a fast-paced environment
• Proficiency in Microsoft Office; SAP experience preferred

WHAT WE OFFER

The pay range which Novocure expects to pay for this role at the time of this posting is $48,000- 81,000/yr. 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.

NOVOFLEX

This role is based on-site in Portsmouth, NH and supports multiple local office locations. Occasional overtime may be required to support events or business needs.

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 NovocureRecruitingEEO@novocure.com

If you're excited about this role, please apply.

#LI-ER