Reimbursement Specialist

About the Role

Novocure is 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. This is a full-time, non-exempt position based in Portsmouth, NH, reporting to the Supervisor or Manager of Reimbursement. The ideal candidate brings foundational knowledge of reimbursement workflows and can complete assigned work accurately and on time with limited supervision.

Key Responsibilities

• Conduct timely insurance benefit verifications to determine patient eligibility and cost-share responsibilities.
• 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.

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.
• Reports to the Supervisor or Manager of Reimbursement.
• Collaborate closely with Revenue Operations and other internal teams.
• Manage multiple priorities with accuracy, timeliness, and limited supervision.
• Ability to lift up to 20 pounds.

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. 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. Novocure develops and commercializes Tumor Treating Fields (TTFields), a proprietary therapy designed to disrupt cancer cell division.