Description

Reimbursement Specialist Healthcare/Pharmaceutical – C4K7UBESTFEN

We are seeking an experienced and detail-oriented Reimbursement Specialist to join our team. This critical role ensures timely and accurate processing of patient reimbursement claims, helping patients access essential healthcare services and medications. If you have a passion for problem-solving and navigating complex healthcare systems, we want to hear from you!

Advantages:

  • Competitive salary and performance-based bonuses.
  • Comprehensive benefits package, including health, dental, and vision insurance.
  • Paid training and opportunities for career advancement.
  • A supportive work environment focused on patient care and professional development.

Responsibilities:

  • Verify patient eligibility and benefits for various healthcare programs and services.
  • Process and submit reimbursement claims to insurance providers and third-party payers.
  • Research and resolve claim denials, rejections, and payment discrepancies.
  • Communicate with patients, healthcare providers, and insurance companies to ensure proper claim resolution.
  • Maintain detailed and accurate records of reimbursement activities and patient interactions.
  • Stay up-to-date on healthcare regulations, insurance policies, and program guidelines.
  • Collaborate with internal teams, including case managers and patient support specialists, to address patient needs.

Qualifications:

  • High school diploma or equivalent (required); associate or bachelor’s degree in healthcare administration, finance, or a related field (preferred).
  • 1-3 years of experience in reimbursement, medical billing, or claims processing (healthcare or pharmaceutical setting preferred).
  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal abilities.
  • Proficiency in medical billing software, Microsoft Office Suite, and CRM systems.
  • Knowledge of insurance verification, prior authorization, and claims submission processes.
  • Certification in medical billing/coding (e.g., CPC, CPB) is a plus.

Summary:

Interested candidates, please submit your resume while applying through the job posting. Applications will be reviewed on a rolling basis, so apply today! Join us in making a meaningful impact in the lives of patients every day!

Seniority level

Not Applicable

Employment type

Full-time

Job function

Customer Service

Industries

Staffing and Recruiting

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