Job description

CornerStone Staffing is partnering with a company dedicated to supporting the patient journey by hiring 35 Reimbursement Specialist.
Possible Temp-Hire
Ideal candidates have Reimbursement Specialist, Benefits Verification, Case Management, Insurance Verification knowledge
Job Title: Reimbursement Specialist
Location: WORK FROM HOME- FULLY REMOTE - EQUIPMENT PROVIDED
Applicant must reside in Texas, Arizona, North Carolina to be considered for this role.
Work From home requirements: Candidate must have a noise free workspace, high-speed internet, designated work area.
Schedule: Monday-Friday, 7:00am to 7:00pm Central Time Zone - must be available for an 8 hours shift within those time frames & occasional over time if needed
Duties and Responsibilities

• Acts as a single point of contact and voice for all providers and patients. Works as a patient advocate and always demonstrates compassion
• Serves as a patient advocate and enhances the caller/contact experience
• Coordinates access to therapies, conducts appropriate follow up and facilitates access to appropriate support services
• Manages case load depending on the parameters of the program
• Collects and review all patient information, to the degree authorized by the SOP of the program
• Validates completeness of all required information and provides assistance to provider and/or patient
• Provide guidance to physician office staff and patients on how to complete and submit all necessary program applications in a timely manner
• Determines patient’s eligibility and conducts patient enrollment activities (example patient assistance programs and copay assistance)
• Performs reimbursement related activities such as benefit investigations, prior authorizations, appeals, etc.
• Provide exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly
• Maintain frequent phone contact with patients, provider representatives, third party customer service representatives and pharmacy staff
• Provides reimbursement information to providers and/or patients
• Extensive knowledge of HIPAA regulations and follows all company policies

Qualifications:

• 2 years of Industry experience: Medical Insurance/ Benefits Verifications / Billing / Pharmacy insurance
• Call Center / Customer Service experience that is outside of the medical field will also be considered but it is not the preferred candidate for this role
• 35+WPM
• High School Diploma or GED
• High speed internet service at home **

Pay: $18-21 BOEThe ideal candidate will have the following profile:

• Previous 3+ years of experience in a specialty pharmacy, medical insurance, reimbursement hub experience, physician’s office, healthcare setting, and/or insurance background preferred
• Bachelor’s Degree Preferred

Interview process:

• Must have updated resume to present to the client
• Must be able to complete a client assessment that will include: testing your internet speed at home; clerical testing and short questionnaire

Job Type: Full-time

Pay: $18.00 - $21.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Insurance verification: 2 years (Preferred)
• Medical billing: 1 year (Preferred)
• HIPAA: 1 year (Preferred)

Work Location: Remote

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