Reimbursement Specialist

1 week ago


Fort Mill, South Carolina, United States TalentBridge Full time
Job Title: Reimbursement Specialist

We are seeking a highly motivated and detail-oriented Reimbursement Specialist to join our team for the annual reverification project. This role plays a crucial part in ensuring that patient insurance benefits are verified accurately and timely.

Key Responsibilities:
  • Insurance Verification: Collect and review patient insurance benefit information from payers in compliance with program SOPs.
  • Customer Service Excellence: Provide exceptional support to internal team members, resolving requests in a timely and accurate manner, and escalating issues when necessary.
  • Payer Coordination: Maintain frequent phone contact with assigned payers and ensure effective communication for accurate and timely benefit investigations.
  • Reporting: Identify and report any reimbursement trends or delays to your supervisor.
  • Team Collaboration: Coordinate with cross-functional teams to ensure smooth operations.
  • Performance Goals: Consistently meet or exceed daily and weekly targets for benefit verification (BV) completion.
Requirements:
  • High School Diploma or GED required.
  • Experience: Minimum of 1 year in a specialty pharmacy, medical insurance, physician's office, or a related healthcare setting.
  • Previous experience in an outbound call center is a plus.
  • Proficiency in Microsoft Office (Excel, Outlook, Word).
  • Strong communication skills and attention to detail.
  • Ability to work from home while meeting daily and weekly performance targets.
  • Willingness to pick up and return equipment onsite during the initial days of the project (local candidates only).
  • Video interview required for final selection.
What We Offer:
  • Fully remote work environment after equipment pickup.
  • Competitive hourly compensation with potential overtime opportunities.
  • Structured training and support to ensure your success in the role.
  • Opportunity to contribute to an impactful healthcare initiative.


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