Overview
Reimbursement Authorization Specialist I Jobs in Ayer, MA at Ajinomoto Cambrooke, Inc.
Title: Reimbursement Authorization Specialist I
Company: Ajinomoto Cambrooke, Inc.
Location: Ayer, MA
- 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.
