Reimbursement Authorization Specialist

Eat Well, Live Well. At Ajinomoto Cambrooke, we build careers grounded in helping improve people’s health through nutritional therapies.

Ajinomoto Cambrooke (ACI) was founded by parents looking to develop better solutions for their children with PKU. Over the subsequent 25 years, we have expanded into additional therapeutic areas with a focus on enjoyable nutrition as a core part of normalizing the life for people living with medical conditions.

Joining ACI means becoming part of a diverse team of talented people who want to build their careers while contributing back to society in a positive way. We seek individuals who bring an entrepreneurial mindset with a bias for action and finding solutions. We provide an environment based in mutual respect and collaboration to support you and give you opportunities to learn and develop.

Join us to find a rewarding work experience that lets you be at your best and have an impact on our patient communities.

Our people are the key ingredient to our success. We offer a collaborative, innovative environment where you can grow your career and make an impact on global food and health solutions.

We provide a comprehensive and competitive total rewards package, including:

• Competitive Pay and Annual Bonus Opportunity

• 401(k) with Company Contributions

• Medical, Dental, and Vision — Effective Day 1

• Paid Time Off, Company Holidays, and Floating Holidays

• Paid Parental Leave

• Wellness Programs and Yearly Wellness Reimbursement

• Work Flexibility

• Company-Paid Life and Disability Insurance

• Employee Assistance Program (EAP)

• Tuition Reimbursement Opportunities

• Career Growth and Development within a Global Organization

• Company-Provided Mental Health and Caregiving support

The role of the Reimbursement Authorization Specialist I is integral to the success of the Revenue Cycle Team. In this role, you will be a patient-focused liaison to assist customers (patients) with access to Cambrooke medical foods and formulas through the referral process. This position requires the ability to interact professionally with patients, insurance companies, institutions (including state programs, clinics, and other health professionals), as well as internal employees.

This position is located in Ayer, MA with flexibility for limited remote work. The core hours of operation are 8:30 am to 5:00 pm.

EDUCATION, CERTIFICATIONS AND

EXPERIENCE:

• Minimum High School Diploma or equivalent;
College degree a plus.

• 2 plus years work experience in medical billing, eligibility, authorization, and interaction with payers.

• Understanding of HCPCs and ICD
10 coding.

• Knowledge of third-party rules and regulations to include contracts and agreements.

KNOWLEDGE, SKILLS AND ABILITIES:

• Proficiency in Microsoft Office;
Excel, Word, Teams, etc.

• Previous experience with Sales Force or an Order Management System (OMS) preferred but not required.

• Ability to multi-task, with attention to detail to ensure accuracy.

• Able to prioritize work, anticipate department needs, plan accordingly and able to handle the many interruptions with ease.

• Strong written and oral communications skills required to provide excellent customer service and/or Revenue Cycle updates.

• Demonstrated sense of compassion and drive to ensure patient(s) and their families receive optimal coverage so they can receive Cambrooke products.

• Ability to work independently with minimal direction, take initiative within scope of work responsibilities

• Must be a strong team player working with the various Revenue Cycle Teams and be able to initiate activity and/or promptly communicate & mentor others.

• Must have great listening skills to work with team members, other colleagues, and outside customers & clinics, to identify and initiate suggestions, guidance and/or resolution.

• Must be results and people-orientated having the ability to balance business and relationship considerations.

• Knowledge of HIPAA and the ability to maintain confidential information security relative to all company’s proprietary information.

• Must maintain information security with regard to all company’s proprietary information.

WORKING CONDITIONS:

• Majority of work is…