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SR Case Reimbursement Specialist
Posted Friday, July 7, 2023
Posting ID: JP-003891675
Insurance Reimbursement Specialists are primarily responsible for working with insurance companies and medical billing staff to manage the billing/reimbursement process.
Under the general direction of the Operations Leadership, the Case
Care Educator will serve as the primary point of contact with the HCP, Patient,
and client’s field reimbursement team leaders. The Case Care Educator will
use effective listening and communication skills to support patients,
prescribers, and all clinic staff via phone and other support channels (email,
SMS, etc.) to provide exquisite service and support. The Case Care Educator
will be responsible for speaking with providers and patients about Reimbursement
Services including but not limited to Benefit Verifications, Prior
Authorization, Appeals, Financial Support Services including but not limited to
PAP, Copay support, independent foundation assistance, Adherence support, as
well all other program services.
Care educators will conduct monthly adherence calls and build
relationships with patients to get ahead of any product access challenges and
educate on the importance of maintaining therapy as prescribed by their
provider. Care educators are responsible for maintaining an account enterprise
view to ensure that provider and patient preferences for communication are met
with the highest level of service.
reimbursement, medical terminology, benefit verification, prior authorization, insurance billing, medical billing, medical claims processing, Insurance, coordination of benefits, health insurance, express scripts, claim, cvs, medical, insurance claim, pharmacy, bene, Phone support, provider calls, insurance coverage, medical insurance, benefits administration, insurance companies
Additional Skills & Qualifications:
- High School, Diploma, or GED required
- 5 + years’ experience with specialty providers in support of reimbursement and/or reimbursement hubs or 5+ years’ experience with clinical and practice management.
- Prior experience as a COA – certified ophthalmic assistant, COT – certified ophthalmic technician, or COMT – certified ophthalmic medical technician is given preference.
- Remote designated work space
- M-F 8am-8pm EST- Must be open for all shifts during this time
Recruiter: Shelby Maldonado
Phone: (480) 459-3116