Gifthealth · 13 hours ago
Reimbursement Analyst
United States
Full-time
Remote
Mid Level
$25/hr - $29/hr
4+ years expGifthealth is revolutionizing healthcare by simplifying the management of prescriptions and health services. The Reimbursement Analyst will assist patients and healthcare providers in accessing therapy through the reimbursement hub program, focusing on billing, benefit investigations, prior authorizations, and appeals.
Health CarePharmaceuticalSoftware
Responsibilities
Assist patients and healthcare providers with moderate to complex billing and coding, insurance benefit investigations, prior authorization, appeals and patient assistance support programs inquiries
May include acting as regional contact for senior level client contacts
Manage patient cases and interact with external contacts like payers and other stakeholders
Assist with coordination of relevant tasks/activities between Gifthealth and the client
Review and resolve denied or underpaid insurance claims
Identify and assess patient specific insurance coverage options for client specific products
Reverify patient benefits at predetermined time frames
Document all activities in program database within required timelines
Research payer medical policy
Monitor and update payer prior authorization requirements and coverage policies for specified client program
Prepare and/or assist with preparation of reports as requested, including adverse event and product complaint reports
Review and process documentation to determine patient specific eligibility for client patient support program(s), as appropriate
Complete quality monitoring and quality assurance activities, as assigned
Travel to and attend client meetings, off-site training, and/or conferences. Travel time estimate: 5%
Qualification
Required
Minimum four years recent healthcare experience (2 years' direct industry preferred)
Exhibit proficiency in Microsoft Office products
Excellent customer service skills (call center experience preferred)
Advanced problem solving, research and analytical skills
Advanced communication skills, both written and verbal
Attention to detail, data entry accuracy required
Ability to multi-task and manage time independently
Advanced knowledge of medical insurance (public and commercial), billing and coding and associated terminology
Preferred
2 years' direct industry experience
Call center experience
Client interaction experience
Company
Gifthealth
GiftHealth is a healthcare tech startup that streamlines pharmacy experience with free delivery and competitive medication pricing.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$45.8MKey Investors
Eir PartnersAllos Ventures
2023-04-04Private Equity· $40M
2021-03-16Seed· $5.8M
2020-06-04Pre Seed
Leadership Team
John Romano
President and Co-Founder
Derek Schneider
CTO
Recent News
2026-01-14
Bizjournals.com Feed (2025-11-12 15:43:17)
2026-01-13
2026-01-11
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