Reimbursement Specialist
Location: Cordova Tennessee
Description: United BioSource Corporation is hiring Reimbursement Specialist right now, this career will be placed in Tennessee. For detail informations about this career opportunity kindly see the descriptions. Brief Description:
Handle day-to-day activity within reimbursement services to which the employee is assigned. Conduct research to ensure that health insurance benefits or other financial assistance (as directed by clients) are available to patients for the products related to the program activities.
Specific Job Duties:
- Receive inbound and make outbound calls to healthcare professionals, patients, payers and manufacturer sales representatives
- Provide assistance with reimbursement inquiry requests, including insurance benefit verification, prior authorization, denials and appeals, and other reimbursement issues
- May provide billing and coding information related to specific product(s)
- Conduct general payer research
- Work with payers and healthcare professionals to resolve prior authorization issues and/or appeals and denials
- Identify complex cases and triage appropriately to next level
- Maintain knowledge of coverage policies for Medicare, Medicaid and private commercial payors
- Other duties as assigned by management
Requirements:
- High school graduate or equivalent level education. Bachelor’s degree is highly preferred.
- Minimum of two years relevant experience (healthcare billing, physician office, health insurance processing) involving case management and/or patient interaction
- Knowledge of medical insurance terminology
- Computer skills with proficiency in Microsoft Office
- Data entry experience with demonstrated data accuracy
- Ability to multitask and prioritize in a fast-paced environment
- Professional phone manner
- Strong verbal communication and telephone skills
- Problem solving, research, analytical, and troubleshooting skills
- Excellent interpersonal skills
- Customer service experience strongly preferred
- Must be flexible to work hourly shifts, weekends, and certain holidays
PRO
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to United BioSource Corporation.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Tue, 28 Aug 2012 14:15:31 GMT