Reimbursement Specialist

Bedford MA

Our client is seeking a Reimbursement Specialist who can independently follow standardized workflows as defined by management.

 

Responsibilities:

  • Understand insurance contracts, channeling and processing requirements for all covered products.
  • Process all aspects of reimbursement by contacting payors, verifying insurance benefits and adhering to medical guidelines for reimbursement.
  • Submission of all prior authorization requests for approval and payment of products at time of claim processing.
  • Calculate and document cost share amounts for potential customers.
  • Collaborate with other commercial teams.
  • Document all interactions and calls into the customer database and maintain compliance to HIPAA and other regulating bodies as required.

 

Education and Experience:

  • Associates/Bachelor’s Degree and/or equivalent combination of education and experience.
  • 2-3 years’ related experience in a professional working environment, preferably with extensive phone coverage and medical device or health care oriented.
  • Individual health plan insurance knowledge and understanding of the managed care industry is required.
  • Knowledge of diabetes and experience supporting patients with diabetes is preferred.
  • Experience with Salesforce CRM (preferred).

 

Note: Qualified candidates will be contacted within 2 business days of application. If an applicant does not meet the above criteria, we will keep your resume on file for future opportunities and may contact you for further discussion.

Date Posted 12/4/2017
Salary $20-$22 Per Hour






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