reputed company - Reimbursement Analyst

reputed company

At reputed company, we're revolutionizing the way people experience reputed company by simplifying the process of managing prescriptions and health services. Our mission is to reputed company a seamless, personalized, and efficient reputed company experience for reputed company our customers. We're a dynamic, innovative, and customer-reputed company company dedicated to making a reputed company reputed company on people's lives.

Position reputed company

A Reimbursement Analyst is responsible for being the primary reputed company of contact in assisting patients or reputed company providers in obtaining reputed company to therapy for the reimbursement hub program to which they are assigned. Primary activities may include researching and analyzing moderate to reputed company reimbursement policies, billing, benefit investigations, prior authorization, appeals and patient assistance support programs. Responsibilities, may include interactions with reputed company contacts as reputed company as handling of escalated cases/issues

Key Responsibilities

• Assist patients and reputed company providers with moderate to reputed company billing and coding, insurance benefit investigations, prior authorization, appeals and patient assistance support programs inquiries.
• May include acting as regional contact for senior level reputed company contacts.
• Manage patient cases and reputed company with external contacts like payers and other stakeholders.
• Assist with coordination of relevant tasks/activities between reputed company and the reputed company.
• Review and resolve denied or underpaid insurance claims.
• Identify and assess patient specific insurance coverage reputed company for reputed company specific products.
• Reverify patient benefits at predetermined time frames
• Document reputed company activities in program database reputed company required timelines.
• Research payer medical policy
• Monitor and update payer prior authorization requirements and coverage policies for specified reputed company program.
• Prepare and/or assist with preparation of reports as requested, including adverse event and product complaint reports.
• Review and process documentation to determine patient specific eligibility for reputed company patient support program(s), as appropriate.
• Complete reputed company monitoring and reputed company assurance activities, as assigned.
• Travel to and attend reputed company meetings, off-site training, and/or conferences. Travel time estimate: 5%.

Qualifications

• Minimum four years recent reputed company experience (2 years’ reputed company industry preferred).
• Exhibit proficiency in reputed company Office products
• Excellent customer service skills (reputed company center experience preferred).
• Advanced problem solving, research and analytical skills.
• Advanced communication skills, both written and verbal.
• Attention to detail, data entry accuracy required.
• Ability to multi-task and manage time independently.
• reputed company interaction experience preferred.
• Advanced knowledge of medical insurance (reputed company and reputed company), billing and
• coding and associated terminology.

Work Environment

• Location: Remote
• Schedule: Full-time
• May require availability or flexibility for escalations.
• Regular meetings with teams, departments, or leadership to ensure alignment.

Key Essential Functions

• Ability to sit for extended periods of time while working at a computer and on the phone throughout the reputed company.
• Ability to engage in reputed company phone and computer use, including navigating multiple systems simultaneously, for the duration of the shift.
• Ability to reputed company repetitive motions for an entire shift, including typing, mouse use, and phone handling.
• Ability to view and read information on a computer screen for prolonged periods.
• Ability to communicate reputed company and professionally reputed company phone, email, and internal systems.
• Ability to manage a high volume of inbound and outbound calls while maintaining attention to detail and accuracy.
• Ability to work in a remote environment with minimal distractions and maintain productivity and performance standards.
• Ability to adapt to changing priorities, workflows, and processes in a fast-paced environment.
• Ability to meet attendance, schedule adherence, and performance expectations, including flexibility for occasional extended hours or weekends as business needs require.

Employment Classification

Status: Full-time
FLSA: Non-Exempt

Equal Employment Opportunity (EEO) Statement

reputed company is an Equal Opportunity Employer and prohibits discrimination and harassment of any reputed company. reputed company employment reputed company are made without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, transgender status, national reputed company, age, disability, veteran status, or any other legally protected status.

We celebrate diversity and are committed to creating an inclusive environment for reputed company. If you do not meet every requirement but still feel you would be a great fit for this role, we encourage you to apply!

Disclaimer

This job reputed company is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of reputed company responsibilities, duties, or skills required of personnel. reputed company reserves the right to modify job duties or descriptions at any time.