Reimbursement Authorization Specialist I Full Time NEW

• Position Title: Reimbursement Authorization Specialist I Location:

Ayer, MA (hybrid with limited remote flexibility) Department: Revenue

Cycle / Accounting & Finance Requisition ID: 2026-2612 Openings: 1

Posted: 04/08/2026 Work Hours: Core 8:30 AM – 5:00 PM Compensation:

$25.75 – $30.00 per hour + 7.5% annual bonus potential Company

Summary:** Ajinomoto Cambrooke, Inc. -mission-driven healthcare

nutrition company focused on medical foods and therapies. Collaborative

environment, growth opportunities, and strong total rewards package.

• Position Summary:** Serve as a patient-focused liaison on the Revenue

Cycle team to secure access to Cambrooke medical foods and formulas.

Manage referrals, verify eligibility/benefits, obtain prior

authorizations and documentation from providers, payers, and state

programs, and maintain case records in Salesforce/OMS to facilitate

timely patient access and reimbursement. **Key Responsibilities:**

Obtain and maintain documentation required to initiate and sustain

referrals. Contact healthcare providers, state agencies, payers,

DME/pharmacies for clinical documents, eligibility, benefits, prior

authorizations, single case agreements, and letters of agreement. Upload

and maintain documents and required fields in Salesforce; ensure

effective dates and records are current. Prioritize and process incoming

requests per Revenue Cycle guidelines; manage Pre-Orders awaiting

finalized SF cases and signed documents. Coordinate with contracted DMEs

and pharmacies to ensure patient access to products. Provide

patient/family guidance on eligibility, benefits verification, and prior

authorization processes. Communicate with registered dietitians,

regional sales, and Medical Billing/Collections regarding open, unpaid,

or rejected claims. Maintain medical records in compliance with HIPAA

and adhere to SOPs, quality, and safety policies. Perform other duties

as assigned. **Required Qualifications:** High school diploma or

equivalent (college degree preferred). Minimum 2 years? experience in

medical billing, eligibility, authorizations, and payer interactions.

Understanding of HCPCS and ICD-10 coding. Knowledge of third-party payer

rules, contracts, and regulations. Proficiency with Microsoft Office

(Excel, Word, Teams). Strong customer service, written and oral

communication skills. Ability to multitask, prioritize, work

independently, and collaborate across teams. Strong listening skills,

attention to detail, and compassion for patient needs. Knowledge of

HIPAA and commitment to information security. **Preferred:** Experience

with Salesforce or an Order Management System (OMS). **Working

Conditions / Physical Requirements:** Primarily office-based in a

controlled environment; occasional outdoor/employee-event duties. May

require entry into manufacturing areas with PPE. Ability to sit =6

hours/day; stand/walk/bend/reach regularly. Ability to lift/carry up to

25 lbs occasionally; repetitive hand/arm use for computer tasks.

• Benefits:** Competitive pay and annual bonus opportunity 401(k) with

company contributions Medical, dental, vision (effective day 1) Paid

time off, company & floating holidays Paid parental leave, EAP, wellness

programs and reimbursement Tuition reimbursement, career development,

company-paid life & disability insurance Work flexibility and mental

health/caregiving support **EEO: Ajinomoto Cambrooke, Inc. is an Equal

Opportunity Employer. Employment Decisions Are Based On Qualifications,

merit, and business need. Contact / Recruitment Notes:** Hiring manager:

Revenue Cycle leadership (schedule interview availability during core

hours). Required screening: verification of education/experience,

reference checks, background check, and HIPAA training. Target start: as

soon as possible. Submit applications via the provided link.