Reimbursement Specialist
1 week ago
Synectics is seeking a highly skilled Reimbursement Specialist to fill a critical role in our organization. As a Reimbursement Specialist, you will play a key part in providing support and information about insurance coverage for prescribed medicines.
Key Responsibilities:- Provide accurate and efficient support to patients and healthcare providers regarding insurance coverage and requirements.
- Utilize reimbursement tools and collaborate with payers to find patient insurance coverage and resolve coverage-related queries.
- Share information with Patient Specialty Services field teams to ensure seamless communication and support.
- Develop and maintain knowledge of PSS programs and payer coverage to provide expert guidance and support.
- Learn and utilize protocols, information, and technology to gather patient coverage information and provide solutions.
- Prepare proper documentation and notifications, and perform proper escalation, tracking, and follow-up.
- Evolve skills to navigate the payer landscape and provide innovative ideas to drive improved efficiency and effectiveness of customer service.
- Bachelor's Degree in a related field or equivalent experience.
- At least 6 months of proven Reimbursement Experience in Healthcare, Payers, or Pharmaceuticals.
- Experience in balancing multiple priorities with multiple audiences.
- Experience working with data entry systems, computer software, and telephone technology.
- Strong phone and verbal communication skills, with the ability to follow oral and written directions.
- Good problem-solving and critical thinking skills.
- Ability to interpret, capture, and document the details of payer conversations in a timely and efficient manner.
- Computer literacy with email, video conferencing systems, and data entry systems.
- Comprehensive Healthcare Insurance through BlueCross BlueShield of Illinois.
- Dental Insurance through MetLife.
- Vision Insurance through VSP.
- 401(k) Plan with Synectics Inc. Investment Savings Retirement Plan.
- Technical Certification Bonus of up to $500 for approved professional certification.
Synectics is an equal opportunity employer.
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