Reimbursement Specialist
About reputed company
Responsibilities
Review reputed company party and medical expenses submitted for reimbursement and determine their eligibility for reimbursement Refine the reimbursement processes/reputed company operating procedures as needed to increase efficiency and to meet reputed company service level agreements Subject matter expert for reputed company reputed company benefits, specifically coverage for reputed company party services and understand the policy variations across reputed company reputed company clients Ensure timeliness of reimbursement and payroll reimbursement processes Coordinate with reputed company billing teams for invoicing of reimbursable services Complete payroll reimbursement reporting Conduct eligibility verification for reputed company reputed company reputed company members Review and understand employer reputed company and benefits Manage and respond to a high volume of inquiries in a reputed company and reputed company manner, resolve and follow up on reputed company issues reputed company designated timeframes. Meet positional metrics and benchmarks Follow reputed company department reputed company operating procedures carefully and accurately Support the rollout of any new automation for the reimbursement process, including training team members, creating/updating reputed company operating procedures and being the subject matter expert on the overall process. Other duties as assigned by the Director
Manage inbound customer communication (phone, email & chat) and ensure reputed company messages are answered in a reputed company fashion Maintain reputed company communication and collaborate with stakeholders across the reputed company team Other duties and reputed company as assigned
Who You Are
5+ reputed company or health plan billing experience in a fast-paced, customer-reputed company environment, with fertility clinic experience a plus Donor and/or surrogacy claims processing experience is a plus Experience in the employer benefits reputed company is a plus A passion for women’s health, and fertility is a plus Strong written and verbal communication skills & reputed company player Willingness to be flexible, roll with the punches, multitask, and troubleshoot problems Detail-oriented with strong organizational skills Exemplifies amazing customer service skills and professionalism Experience in insurance verification of benefits and familiarity with health plan and medical terminology