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As a member of the Reimbursement Hotline Team, the Reimbursement Assistant will work with healthcare Providers, Reimbursement Staff and Sales Representatives to facilitate and/or manage the completion any other pertinent information required for benefit verifications, denials, and appeals processes. They will act as a liaison between the Reimbursement Case Specialists and the Providers to obtain missing and/or incomplete information. The Reimbursement Assistant is expected to provide high level customer service, follow through, and accuracy.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The following represents a list of essential goals and responsibilities. Other duties may be assigned as required.
Maintain high-level, professional customer service for both internal and external customers.
Collect missing information received for benefit verification, prior authorization, and/or appeals documentation by phone, email, or other electronic communication in a timely manner.
Verify inconclusive information with medical providers and provider's staff.
Maintain accurate data records and log all information received.
Triage the workflow and report issues to the appropriate leadership personnel.
Handle all protected patient data according to strict HIPAA compliance and ethical record-keeping.
Perform basic office duties (answering phones, filing, etc.)
Organize, prioritize, and perform all job functions in a manner that achieves department task completion in the quality, quota, and turn-around timeframe, a general standard of 24 to 48 hours.
Collect missing information received for benefit verification, prior authorization, and/or appeals documentation by phone, email, or other electronic communication in a timely manner
Assist with the coordination of the case set up with wound care center/ providers, patients and sales representative.
Develop productive working relationships with internal reimbursement staff to provide coordinated support to healthcare providers and patients interested in treatment with Integra products
Demonstrate proficiency and full understanding of the Reimbursement Call Center Customer Relationship database including understanding of data elements, definition of various case statuses and outcomes, case documentation requirements and the importance of meeting program metrics.
Minimum of 2 years of administrative experience.
Must be knowledgeable about PC, and Phone capabilities.
Minimum 1 year of experience in hospital, clinic, or medical billing position, including but not limited to knowledge of: basic medical coding, navigating healthcare insurance provider claims, and claims processing. (Preferred but not required)
High level of organization with an emphasis on accurate data recording/entry, maintaining data files and spreadsheets, and a creative approach to problem solving.
Must be experienced with core HIPAA and patient privacy practices.
Strong communication and time management skills and willingness to be Team oriented
Professional excellence in customer service skills, multi-tasking capabilities, and professional administrative functions including communication of sensitive data by phone and time management.
Proficient with Word, Excel, and Acrobat. Experience working within a Customer Relationship Management program (CRM)
Proficient Typing skills
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