REIMBURSEMENT SPECIALIST job in Remote
Vacancy has expired
Remote CorTech LLC
| Job Ref: | 349257 |
| Employer: |
CorTech LLC |
| Job Type: | Contract |
| Salary and Benefits: | 29.00/Per Hour |
| Remote: | No |
Location |
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| City: | Remote |
| Post Code: | remote |
| Map: |
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Description |
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JobsRus.com is seeking to hire a Reimbursement Specialist for our client remotely. We offer benefits, weekly pay Great Schedule! $29.00 Summary: As a Reimbursement Specialist, your role is crucial in supporting the company's mission to facilitate patient access to cutting-edge technologies and products. You will be responsible for verifying patient insurance benefits, responding to verification inquiries, and providing healthcare providers with accurate patient coverage and reimbursement information. Additionally, you will maintain data quality and document all interactions in a dedicated database while delivering exceptional customer service. Adherence to company policies, procedures, and HIPAA guidelines is paramount in this role. Key Responsibilities: 1. Insurance Benefit Verification Conduct detailed insurance benefit verifications for all products, including patient responsibility assessment, researching payer coverage criteria, and identifying prior authorization requirements. 2. Documentation and Reporting Maintain clear documentation of all tasks, review reports for accuracy and completeness, and transmit insurance benefit verification results to healthcare providers. Safeguard protected health information (PHI) in accordance with HIPAA guidelines, all within specified timeframes. 3. Issue Reporting and Resolution Report any payer delays or reporting challenges and escalate complaints to Team Lead and/or Supervisor when necessary. 4. Collaboration Collaborate with Market Access and Field Reimbursement teams to investigate reporting issues or changes in payer coverage criteria. Education: Required: Work experience or education in healthcare-related, life sciences, or quantitative fields (e.g., Medicine, Nursing, Biology, Biochemistry, Engineering, Math, Finance/Accounting). Preferred: Four-year college degree and reimbursement or healthcare admissions/intake experience in the healthcare industry. Licenses/Certifications: N/A Experience: Required: 2 or more years of customer service, healthcare admissions/intake, or reimbursement experience in biotechnology, pharmaceuticals, Durable Medical Equipment (DME), or a related field. Basic knowledge of Medicare, Medicaid, and Private Insurance Reimbursement Methodology. Ability to interpret and analyze detailed medical policies and coverage criteria. Understanding of the patient's benefits verification process, including health plan benefit structure. Preferred: Previous experience in a medical or pharmaceutical reimbursement hub or hotline. Previous coding and billing experience in the healthcare industry (preferred but not required). Intermediate knowledge of Microsoft Office Suite (Word, Excel, Outlook, Skype, TEAMS, etc.). Basic understanding of Data Entry/Customer Relationship Management programs (SalesForce, Dynamics365, other). Familiarity with ICD 10 Coding. Competencies: Exceptional Customer Service skills. Strong attention to quality and detail while maintaining an ethical business perspective. Strong work ethics and self-accountability with a willingness to learn and improve. Effective communication skills (oral, written, listening, and non-verbal). Excellent organizational and time management skills. Strong critical thinking skills. Flexibility and adaptability to changing business needs. Ability to handle high-volume cases while maintaining a positive attitude in a fast-paced environment. Physical Demands: Regular standing, sitting, talking, hearing/listening, and use of hands and fingers for computer and telephone operation. Close vision requirements due to computer work. Light to moderate lifting may be required (e.g., using the office printer, refilling paper trays/toner). | |
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