Reimbursement Authorization Specialist

Located in Ayer, MA

Salary: $27.88/hr

We are recruiting for a Reimbursement Authorization Specialist for our client, a biomedical company in Ayer, MA. This is a Direct Hire position. This position will be a patient-focused liaison to assist customers (patients) with access to the medical products through the referral process.

 

Benefits: Medical/Dental/Vision, 401k (matching), holiday pay, PTO, and much more!

 

Responsibilities of Reimbursement Authorization Specialist:

• Ensure company has necessary documentation to start the referral process.
• Contact healthcare professionals, state agencies, and payers (insurance companies) for clinical documents, eligibility, benefits, prior authorization, single case agreements, letter of agreements and any other items to ensure payment on an as needed basis (e.g., when authorization expires).
• Continue to work and maintain such documents so effective dates are always current.
• Provide guidance for patient(s) and their families working through eligibility and prior authorization process with payers.
• Coordinate with other contracted Durable Medical Equipment companies and/or Pharmacies to ensure that patient(s) and their families can obtain the medical products they require.
• Interact with Client Services and the A/R Collection team members to resolve or avoid claim issues.
• Maintain medical records in compliance with HIPAA rules and regulations.

Requirements of Reimbursement Authorization Specialist:

• High School diploma or equivalent; College degree is a plus
• 2+ years in medical billing or medical reimbursement authorization required
• Understanding of HCPCs and ICD10 coding required
• Proficient in MS Suite including Outlook, Excel, Word, Power Point required

This is a Direct Hire position with great growth opportunities. The hours are Mon-Fri 8:30AM-5PM. After training, this position can have a Hybrid remote option. The pay is $27.88/hr

 

If interested, please respond to this ad or call 978-319-9452.

Apply Now