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Reimbursement Specialist

Work from home Full-time role Hiring

About Kindbody

Kindbody’s mission is to make fertility and family-building care affordable and accessible for all.

Founded in 2018, Kindbody has been recognized for technology innovation and industry leadership, Kindbody has been named to CNBC Disruptor 50, Fast Company’s Brands that Matter, Forbes Best Startup Employers, Inc.’s Best In Business list of most admired companies, as well as Deloitte Technology Fast 500, which recognizes the fastest growing and most innovative technology companies in North America.

Kindbody is the leading U.S. fertility clinic network and global family-building benefits provider for employers on a mission to make fertility care more affordable and accessible for all. Kindbody serves patients at 26 state-of-the-art signature clinics and IVF labs, 400+ partner clinics, and in 113 countries around the world. Trusted by more than 140 employers, Kindbody’s physician-led model covers the full-spectrum of reproductive healthcare including fertility assessments, fertility preservation, genetic testing, IVF, donor and surrogacy services, adoption, postpartum care, and menopause support. Kindbody is the only fertility benefits provider that serves patients directly, delivering a seamless, integrated experience with superior health outcomes at lower cost. Kindbody has raised more than $315 million in debt and equity funding from leading investors including Perceptive Advisors, JP Morgan Chase’s Morgan Health, GV, RRE Ventures, Claritas Health Ventures, Rock Springs Capital, Distributed Ventures, Whatif Ventures and TQ Ventures.

About the Role

As an experienced Reimbursement Specialist, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. We are looking for a dedicated Reimbursement Specialist to join our Enterprise Operations team to process reimbursement requests for our Enterprise members. This role will have a large emphasis on reviewing third-party (donor, adoption & surrogacy) documentation, medical documentation, and understanding Kindbody’s employer benefits. This is a remote role.

Responsibilities

  • Review third party and medical expenses submitted for reimbursement and determine their eligibility for reimbursement

  • Refine the reimbursement processes/standard operating procedures as needed to increase efficiency and to meet client service level agreements

  • Subject matter expert for Kindbody Enterprise benefits, specifically coverage for third party services and understand the policy variations across all Enterprise clients

  • Ensure timeliness of reimbursement and payroll reimbursement processes

  • Coordinate with Kindbody billing teams for invoicing of reimbursable services

  • Complete payroll reimbursement reporting

  • Conduct eligibility verification for all Kindbody enterprise members

  • Review and understand employer contracts and benefits

  • Manage and respond to a high volume of inquiries in a positive and professional manner, resolve and follow up on all issues within designated timeframes.

  • Meet positional metrics and benchmarks

  • Follow all department standard operating procedures carefully and accurately

  • Support the rollout of any new automation for the reimbursement process, including training team members, creating/updating standard operating procedures and being the subject matter expert on the overall process.

  • Other duties as assigned by the Director

General Administrative Duties:

  • Manage inbound customer communication (phone, email & chat) and ensure all messages are answered in a timely fashion

  • Maintain clear communication and collaborate with stakeholders across the Enterprise team

  • Other duties and projects as assigned

Who You Are

  • 5+ Healthcare or health plan billing experience in a fast-paced, customer-focused environment, with fertility clinic experience a plus

  • Donor and/or surrogacy claims processing experience is a plus

  • Experience in the employer benefits space is a plus

  • A passion for women’s health, and fertility is a plus

  • Strong written and verbal communication skills & a team player

  • Willingness to be flexible, roll with the punches, multitask, and troubleshoot problems

  • Detail-oriented with strong organizational skills

  • Exemplifies amazing customer service skills and professionalism

  • Experience in insurance verification of benefits and familiarity with health plan and medical terminology

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