Inside Sales Representative

Customer Care Advocate – Reimbursement Specialist

The Customer Care Advocate – Reimbursement Specialist is responsible for supporting insurance authorization requests, conducting follow-up for insurance determinations, and collaborating with field sales teams and healthcare professionals to obtain necessary documentation. This role requires at least 2 years of experience in medical authorization, strong customer service and communication skills, attention to detail, and adaptability in a fast-paced, team-oriented environment. Success is measured by the ability to navigate complex insurance processes, overturn denials, meet sales quotas, and provide empathetic support to patients, especially those with neurological impairments.

Responsibilities

• Interact with patients, payers (e.g., Kaiser, Blue Cross Blue Shield), and physician's offices to provide exceptional customer service.
• Obtain necessary documentation and submit insurance claims accurately.
• Handle referral authorizations, pre-service appeals, and denials efficiently.
• Collaborate with field teams across four regions, each consisting of three people, to streamline processes.
• Contribute to closing sales, which is essential for meeting sales quotas.

Essential Skills

• Minimum of 2 years of experience in medical authorization involving medical record review.
• Strong customer service skills and proven success in customer-facing roles.
• Excellent written and verbal communication skills for interacting with diverse stakeholders.
• Attention to detail and organizational skills for managing tasks and documentation accurately.
• Adaptability to navigate evolving processes and changing business needs.

Additional Skills & Qualifications

• Bachelor's degree preferred or equivalent relevant experience.
• Proficiency in CRM systems, insurance claim processing software, and Microsoft Office.
• Sales experience with a commission/incentive plan is strongly preferred.
• Knowledge of medical terminology and ICD-10 coding; medical coding certification is a plus.
• Experience in pharmaceutical, biotech, or medical device industries is advantageous.

Work Environment

Fully onsite Monday through Friday 8- 5pm in an administrative work setting that is fast pace and highly collaborative with team members. The team works closely together, with active leadership presence and a focus on teamwork and process improvement. This is not a call center environment. The company values adaptability, client satisfaction, and a supportive, results-oriented atmosphere. Employees are encouraged to contribute ideas, embrace process changes, and maintain a positive team spirit. This position also offers hourly pay plus commission pay structure.

Job Type & Location

This is a Contract to Hire position based out of Valencia, CA.

Pay and Benefits

The pay range for this position is $26.00 - $30.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Valencia,CA.

Application Deadline

This position is anticipated to close on Jun 5, 2026.