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Reimbursement Support Specialist
2 months ago
CornerStone Staffing is currently in search of Reimbursement Support Specialists. This position offers a unique chance to join a leading independent specialty pharmacy that focuses on rare diseases and oncology treatments.
Work Environment: This role is based in a hybrid model.
Compensation: $19.50 per hour
Working Hours: Monday to Friday with flexible scheduling options available between 8 AM and 8 PM EST, including opportunities for overtime and weekend shifts.
Training: Comprehensive training will be conducted entirely onsite.
Position Summary:
- Engage in a dynamic contact center setting addressing intricate reimbursement challenges.
- Support the management of appeals for denied claims.
- Act as an advocate for specific product coverage with healthcare providers and insurance companies.
- Gather detailed benefits information to optimize insurance plan advantages.
- Assist in the prior authorization process for patients and healthcare professionals.
- Leverage internal tools and perform external research to identify alternative funding options.
- This role may require skills in sales, project oversight, or account management.
Essential Qualifications:
- A minimum of 2 years in customer service roles.
- A minimum of 2 years of experience in the medical or insurance sectors.
Desired Skills:
- 5 years of experience within the healthcare field.
- Ability to analyze reimbursement data and generate reports.
- Strong communication, organizational, and problem-solving abilities.
- Capability to manage multiple tasks in a fast-paced environment.
- Excellent interpersonal and written communication skills.
- Proficient in computer applications with knowledge of ICD-9, HCPCS, and CPT coding.
Educational Background:
- High School Diploma or equivalent qualification.
