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Reimbursement Specialist
2 months ago
Title: Reimbursement Specialist 1
Duration: 6 months
Pay Rate : $27.50/hr on W2
Location - East Hanover, NJ 07936
Shift: Actual hours will be 8 am-5 pm EST shift
Training is a mix of on-site in East Hanover, NJ and virtual for from 8am-5pm EST and will be 8-10 weeks.
Overview:
The Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed Clients medicines. They will accurately and efficiently find the patient’s insurance coverage, and any other requirements by leveraging reimbursement tools and collaborating with payers and providers.
The Reimbursement Specialist may also share appropriate information with Patient Specialty Services field teams. This information may cover coverage-related queries from customers, provide pre-authorizations for medical treatment, and outline information regarding co-payments.
The Reimbursement Specialist must have strong communication skills to converse with payors and providers about benefits coverage and be able to offer solutions in accordance with approved procedures.
A Reimbursement Specialist will possess an aptitude for learning and continual development.
• Develop and maintain knowledge of PSS programs and payer coverage; broaden program knowledge over time.
• Learn and utilize protocols, information and technology to gather patient coverage information. Some of this will be completed via phone calls to payers in a prompt and courteous manner.
• Prepare proper documentation and notifications; perform proper escalation, tracking, and follow-up
• Evolve skills to navigate the payer landscape regarding Clients programs over time
• As applicable, raise innovative ideas which will drive improved efficiency and effectiveness of customer service to Team Leads.
What you’ll bring to the role:
Education:
High School Diploma required
Company DescriptionSupportive work environment and excellent cultureCompany DescriptionSupportive work environment and excellent culture