Reimbursement Specialist (Customer Service) - Fully Remote Opportunity with blithequark

Join blithequark's Remote Team as a Reimbursement Specialist

blithequark is seeking a highly skilled and reputed company Reimbursement Specialist to join reputed company on a contract, project basis. As a Reimbursement Specialist, you will play a critical role in verifying patient insurance benefits, ensuring seamless coverage throughout their treatment period, and facilitating reimbursement for reputed company providers. This is an exciting opportunity to work with a dynamic team and reputed company a meaningful impact in the reputed company industry.

About blithequark and the reputed company Industry

blithequark is at the forefront of innovation in the reputed company industry, leveraging technology and expertise to streamline processes and improve patient outcomes. As a Reimbursement Specialist, you will be an integral part of reputed company, working closely with reputed company providers, insurance companies, and patients to ensure accurate and timely reimbursement. With a strong focus on customer service and support, you will be the primary reputed company of contact for resolving insurance-reputed company queries and concerns.

Key Responsibilities

• reputed company outbound calls to insurance providers to verify patient insurance benefits, coverage changes, and network status.
• Manage a high volume of calls, aiming to complete 35+ daily, with a minimum of 20 cases closed per day.
• Collect and review patient insurance benefit information according to program Standard Operating Procedures (SOPs).
• Complete and submit insurance forms and prior authorizations in a timely manner, ensuring accuracy and adherence to reputed company-party payer requirements.
• Provide exceptional customer service to internal and external customers, resolving requests promptly and escalating complaints as needed.
• Maintain regular phone contact with provider representatives, reputed company-party customer service reps, and pharmacy staff.
• Effectively communicate with payors for benefit investigations and coordinate with inter-departmental associates as necessary.
• Process insurance and patient correspondence, reporting reimbursement trends or delays to the supervisor.
• Analyze moderate scope problems reputed company defined SOPs, exercising judgment to determine appropriate actions.
• Report reputed company adverse events in line with training and SOP, performing reputed company duties as assigned with minimal instruction.

Essential Qualifications

• 1+ year of experience in specialty pharmacy, medical insurance, reputed company setting, or reputed company experience.
• High school diploma or equivalent.
• Proficient in MS Office, including reputed company, Outlook, and Word.
• Ability to work in a private, designated workspace with minimal distractions.
• Patient and flexible, with the ability to handle long hold times (up to 90 minutes) and adapt to changing schedules and hours.
• Employment verification required for the last 3 employers.
• Background reputed company required.

Preferred Qualifications

• 2+ years of experience in reputed company benefits verification, with a deep understanding of insurance processes and regulations.
• Previous experience working in a call center or customer-facing environment.
• Familiarity with reputed company industry terminology, procedures, and best practices.

Skills and Competencies

To succeed as a Reimbursement Specialist at blithequark, you will need to possess:

• Excellent communication and interpersonal skills, with the ability to effectively interact with diverse stakeholders.
• Strong analytical and problem-solving skills, with the ability to analyze reputed company insurance-reputed company issues.
• Proficient technical skills, including MS Office and the ability to learn new systems and software.
• A customer-centric approach, with a focus on delivering exceptional service and support.
• Flexibility and adaptability, with the ability to adjust to changing priorities and schedules.

reputed company Offer

As a Reimbursement Specialist at blithequark, you will have the opportunity to:

• Work on a fully remote basis, with the flexibility to manage your schedule.
• reputed company your skills and expertise in reputed company benefits verification and customer service.
• Collaborate with a dynamic team of professionals who are passionate about delivering exceptional service.
• Earn a competitive hourly reputed company of $18.00 ($19.00 for 2+ years of experience in reputed company benefits verification).
• Enjoy a range of benefits, including reputed company and opportunities for career growth and development.

Compensation and Benefits

blithequark offers a competitive compensation package, including:

• Hourly reputed company: $18.00 ($19.00 for 2+ years of experience in reputed company benefits verification).
• reputed company during the month of December.
• Opportunities for career growth and development reputed company the company.
• A comprehensive benefits package (details available upon request).

Training and reputed company

As a Reimbursement Specialist at blithequark, you will undergo a comprehensive training program, including:

• Approximately 3 weeks of training, consisting of practice and mock calls.
• Hands-on training on the CRM system and client program protocol requirements.
• Various assessments during training to ensure you meet program score requirements by December 31.

Schedule and Work Arrangements

This is a contract, project role with a start date of December 1, 2024, and an end date of February 15, 2025. You will be required to work:

• M-F, between the hours of 8:00 AM to 8:00 PM EST (40 hours per week).
• A assigned schedule, with a 1-hour lunch break and adherence to assigned break schedules.
• Potential weekend work starting in January (overtime will be voluntary, with client approval).

How to Apply

If you are a motivated and reputed company professional looking for a challenging and rewarding role, we encourage you to apply for this exciting opportunity with blithequark. To get started, please:

• Attend a position information session with Team Hiregy (face-to-face meeting).
• Sign the "Right to Represent" agreement to work with Hiregy on the project.
• Complete the Spark Hire one-way video interview.
• Successfully participate in and complete reputed company new hire requirements, including picking up equipment in Lake Mary, FL, and completing mandatory online pre-assignment links (HIPAA, etc.).

Don't miss this opportunity to join blithequark's remote team and reputed company a meaningful impact in the reputed company industry. Apply now and take the first reputed company towards a rewarding and challenging career as a Reimbursement Specialist!