Reimbursement Associate - Rubrum Solutions

Rubrum Advising and Rubrum Solutions integrate healthcare consulting services and data solutions to accelerate the adoption of health innovation, so people get better care sooner.   Rubrum Solutions is an AI-native platform that transforms fragmented upstream healthcare data into structured, decision-ready intelligence—reducing friction across prior authorization, real-world evidence, and reimbursement workflows so patients can access care sooner.  We are hiring a Reimbursement Associate to support our prior authorization workflows. This role is ideal for someone early in their career who wants to build expertise in AI and healthcare, while working in a fast-moving, high-growth environment.  Key Responsibilities You will work with our customers to ensure their cases progress smoothly through the platform. Responsibilities will include:  Managing assigned cases, including intake, follow-up, and resolution  Records organization, management, and documentation Communication with providers, payors, and customers to obtain missing information, coordinate submissions, and troubleshoot data discrepancies  Quality control across AI-generated materials, including documentation for appeals and letters of medical necessity Identifying documentation gaps and escalate issues as needed  Providing feedback on recurring issues to improve workflows over time   Qualifications Basic understanding of medical coding (CPT, HCPCS, ICD-10) 2–4 years of experience in reimbursement, patient access, revenue cycle, or related healthcare operations  Based in the Philadelphia area, with an ability to work in-person 2-4 times a month Familiarity with payer workflows across commercial and government plans  Experience with prior auth denials, appeals processes, and benefits verification and investigation  Strong organizational skills and attention to detail  Ability to manage multiple tasks and follow through consistently  Clear and professional communication skills   Preferred qualifications: Experience in multiple therapeutic areas, provider operations, or HUB services  Clinical background (e.g., RN, LPN) preferred but not required   The strongest candidates for this role are: Detail-oriented and reliable, with strong follow-through  Curious and eager to learn  Organized operators who can manage multiple priorities  Collaborative team members who know when to escalate and ask questions  Comfortable working in AI-enabled workflows   Compensation Rubrum offers a flexible work environment and opportunities for growth within a rapidly expanding company. Benefits include a competitive salary, bonus, unlimited PTO, extensive health insurance contribution, and 401k match opportunity after one year of service.