Reimbursement Specialist
7 days ago
This is an exciting opportunity to join our team as a Reimbursement Specialist, where you will play a critical role in ensuring seamless reimbursement processes for our patients and healthcare teams.
As a Reimbursement Specialist, you will be responsible for verifying eligibility and benefits, gathering clinical documentation, and preparing prior authorization requests to insurance companies. Your exceptional communication skills and attention to detail will enable you to provide a superior customer experience and ensure compliance with all policies and regulations.
Key Responsibilities- Verify patient eligibility and benefits to determine coverage and payer requirements
- Gather and assess clinical documentation to support medical necessity for our products
- Prepare and submit prior authorization requests to insurance companies
- Process authorization decisions from payers in a timely manner to drive revenue
- Negotiate payment rates for letter of agreement to ensure maximum collection potential
- Provide exceptional customer service to patients and healthcare teams
- Associates degree or higher preferred
- 3+ years of industry experience, preferably in health insurance and/or durable medical equipment
- Third-party payer experience strongly preferred
- Exceptional written, verbal, and interpersonal communication skills
- Strong critical thinking and problem-solving skills
- Detail-oriented and ability to multi-task
- Ability to work independently and in a team environment
- Proficiency in Microsoft Office Software
We offer a competitive salary range of $41,600 to $57,200 annually, as well as a flexible work environment and opportunities for professional growth and development.
We are an equal opportunity employer and welcome applications from diverse candidates. If you are passionate about delivering exceptional customer service and have a strong background in reimbursement and healthcare, we encourage you to apply.
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