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Planet Pharma

Revenue Cycle Specialist

Planet Pharma, Chicago, Illinois, United States, 60290

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This range is provided by Planet Pharma. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range

$70,000.00/yr - $80,000.00/yr Direct message the job poster from Planet Pharma We’re seeking a motivated and detail-oriented

Reimbursement Specialist / Coordinator

to join a growing diagnostics organization supporting their Billing and Market Access team. This is a

6-month contract-to-hire opportunity

offering the chance to transition to full-time after initial success. About the Role You’ll play a key part in optimizing patient access and reimbursement workflows while analyzing data to identify trends and drive process improvements. This role is ideal for someone with a strong understanding of payer policies, medical billing, and healthcare reimbursement — particularly in a fast-paced or start-up environment. Key Responsibilities Serve as a subject-matter expert for reimbursement strategies including benefits verification, prior authorizations, coding, appeals, and denials. Analyze reimbursement data and KPIs to identify gaps and opportunities for improvement. Collaborate with cross-functional teams (Commercial, Medical Affairs, Finance, Compliance) to streamline patient access operations. Monitor payer coverage, CMS guidelines, and coding updates impacting reimbursement. Support the development of patient access programs and assist in training team members on reimbursement processes. Utilize tools such as Excel and Tableau to track and visualize reimbursement metrics. Qualifications Bachelor’s degree in Health Sciences, Business, Public Health, or related field. 1–3+ years of experience in reimbursement, patient access, or revenue cycle (minimum 2 years in healthcare). Proven experience within a laboratory or start-up environment preferred. Strong analytical abilities and familiarity with reimbursement codes (HCPCS, CPT, ICD-10). Excellent communication skills and ability to thrive in a dynamic, fast-changing environment. Preferred Experience Exposure to pre-commercial or commercial launch activities in biotech. Experience with third-party HUBs, hospital systems, or patient support programs. Familiarity with claims data sets and payer adjudication logic. Bilingual (Spanish/English) is a plus. Seniority level

Seniority level Associate Employment type

Employment type Full-time Job function

Job function Finance, Administrative, and Accounting/Auditing Industries Biotechnology Research, Hospitals and Health Care, and Medical Practices Referrals increase your chances of interviewing at Planet Pharma by 2x Inferred from the description for this job

Medical insurance Vision insurance 401(k) Get notified about new Revenue Specialist jobs in

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