The Referral and Insurance Specialist obtains authorizations from insurance companies for referrals to physicians and/or procedures/testing, verifies eligibility/coverage, schedules appointments, enters charge information, posts payments, and assists patients with billing questions.
Compensation
Minimum: $18.11 Maximum: $27.17
Responsibilities
Obtains authorizations from insurance companies for referrals to physicians/medical facilities and/or procedures/testing
Schedules appointments for testing at medical facilities or appointments with physicians
Verifies eligibility/coverage for referral/testing via phone/fax/Internet
Investigates billing problems and denials
Notifies patients of referral process whether authorized or denied in a timely manner
Responsible for executing receiving and merchandising standards while ensuring Associates are processing efficiently and effectively, and working as a team.
Compensation
This position has a starting pay range of USD $16.75 to $17.25 per hour.
Responsibilities
Executing receiving and merchandising standards
Ensuring Associates process efficiently and effectively
Maintaining a clean and organized store
Promoting a culture of honesty and integrity
Orchestrating truck delivery and processing merchandise onto the sales floor
Develop and execute market access strategies for CST therapies and procedures, evaluate reimbursement dynamics, create value resources, and lead education programs.
Compensation
Salary ranges for U.S (excl. PR) locations (USD):$101,600.00 - $152,400.00
Responsibilities
Develop market access and reimbursement strategies
Assess coding, coverage, and payment dynamics
Create reimbursement, health economics, and procedural value resources
Partner with cross-functional teams
Lead reimbursement and economic education programs
Actuarial Associate / Sr Actuarial Associate in the Actuarial Development Program (ADP) focusing on data analytics, modeling, and regulatory reporting.
Compensation
Total Compensation Range: $79,200 - $170,700 (inclusive of Base and Bonus). Compensation is commensurate with number of exams passed.
Responsibilities
Acquire, aggregate, and develop data for experience studies
Assess client information to construct mortality, lapse, and pricing assumptions
Develop financial projections using modeling software
Develop, maintain, and run models for profit testing, reserving, and economic capital
Validate, format, and present results
Requirements
Bachelor's degree from an accredited college or university
Systems Engineer (Standards / Technical Specifications) to join the team in Bethesda, MD, designing, developing, evaluating, and modifying end-to-end systems and systems-oriented products through their entire life cycle.
Compensation
$112,000 - $179,000. This represents the typical salary range for this position.
Responsibilities
Generates quantifiable requirements based on customer description, system planning and design, and acquisition logistics
Ensures requirements comply with client requirements and government standards through formal verification methods
Translates high level product development strategies into system requirement specifications and works with other engineering disciplines to develop lower-level detailed implementation requirements
Establishes and coordinates development of standards, practices, and procedures as related to the overall product development
Designs interfaces and brings system elements together, so they work as a whole
Junior Project Manager or Project Coordinator responsible for managing cross-organizational software development projects from initiation through delivery.
Compensation
Pay: $40/hr-$50/hr on w2
Responsibilities
Develop and report on metrics for engineering development
Manage cross-organizational software development projects
Lead and influence program timelines
Ensure delivery quality and code standards
Requirements
Bachelor’s degree in computer science or a related field
Lead the U.S. Field Reimbursement team, manage reimbursement strategy, support internal and external customers, and drive cross‑functional initiatives to improve patient access.
Compensation
$180,000—$240,000 USD
Responsibilities
Lead, coach, and develop a team of 7-9 Field Reimbursement Specialists
Serve as senior subject matter expert for coding, coverage, and payment
Direct field reimbursement support and complex reimbursement escalations
Develop and maintain reimbursement tools, resources, and educational materials
Partner with Sales, Market Access, Clinical Affairs, and other functions
Requirements
Bachelor's degree in business, science, healthcare administration, or related field
Nice to have: implantable medical device experience
Nice to have: experience leading geographically dispersed field teams
Nice to have: experience developing reimbursement and coverage strategies
Actuarial Associate / Sr Actuarial AssociateNewHannover Re · Orlando, US
Systems Engineer – Standards / Technical SpecificationsNewPeraton · Bethesda, US
Risk Adjustment Performance ConsultantNewOracle · US
Director, Field ReimbursementNewInspire Medical Systems Inc. · Minneapolis, US