Job description
Overview: The Customer Reimbursement Coordinator is responsible for providing direct assistance to customers with their reimbursement inquiries and claims. This role involves verifying insurance benefits, assisting with claims processing, initiating prior authorizations with payers on behalf of providers, answering customer queries, and ensuring compliance with reimbursement policies and regulations. The ideal candidate will have strong communication skills, a detail-oriented mindset, and experience in customer service or healthcare reimbursement.
Responsibilities:
Respond to customer inquiries regarding reimbursement policies, claims status, and procedures via phone, email, and other communication channels
Provide clear and accurate information to customers about the reimbursement process
Provide appeal and denial support for negative outcome authorization requests
Assist customers in completing and submitting reimbursement claims
Review and verify benefits in accordance with company policies and regulatory requirements
Verify the accuracy and completeness of claim documentation
Ensure timely and efficient assistance with the processing of claims to meet customer needs and company standards
Maintain detailed and organized records of customer interactions and claims processing
Ensure all documentation is accurate, up-to-date, and compliant with relevant regulations
Prepare and submit reports on reimbursement activities and trends as required
Adhere to all relevant regulations, policies, and procedures related to reimbursement
Conduct regular quality checks to ensure high standards of service and compliance
Stay informed about changes in reimbursement policies and procedures and update customers and internal teams accordingly
Work closely with other departments to resolve complex reimbursement issues and improve processes
Provide support and assistance to team members as needed
Participate in training and development activities to enhance knowledge and skills
Skills/Qualifications:
Associate’s degree in business, healthcare administration, or a related field or equivalent work experience is required, a bachelor’s degree is preferred
Minimum of 4 years of experience in customer service, healthcare reimbursement, or a related field
Strong understanding of reimbursement processes and regulations
Excellent communication and interpersonal skills
High level of attention to detail and accuracy
Proficiency in using customer support software and office applications
Experience with reimbursement management systems and software
Knowledge of healthcare insurance and billing processes
Certification in healthcare reimbursement or a related field
* Please note, we do not provide sponsorship at this time.
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.