Experienced Reimbursement Specialist – Healthcare Benefits Verification

Join arenaflex as a Reimbursement Specialist and play a vital role in ensuring seamless healthcare services for patients and healthcare providers.

About arenaflex

arenaflex is a leading provider of innovative solutions in the healthcare industry. We are committed to delivering exceptional services that meet the evolving needs of our clients and patients. Our team of experts is dedicated to making a positive impact on the lives of those we serve. As a Reimbursement Specialist at arenaflex, you will be part of a dynamic team that is passionate about delivering high-quality services and making a difference in the healthcare landscape.

Job Summary

We are seeking an experienced Reimbursement Specialist to join our team on a contract basis. As a Reimbursement Specialist, you will be responsible for verifying patient insurance benefits to ensure there are no lapses in coverage that could affect ongoing therapy. This involves checking current policy details and confirming that the patient's coverage remains active throughout their treatment period. You will work closely with healthcare providers to guarantee they receive appropriate reimbursement for their services.

Key Responsibilities

* Place outbound calls to insurance providers to verify information and verify coverage changes

• Collect and review patient insurance benefit information according to program SOPs
• Complete and submit insurance forms and prior authorizations in a timely manner, ensuring accuracy and adherence to third-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, third-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
• Report reimbursement trends or delays to the supervisor
• Provide all necessary documentation for prior authorizations, including demographic details and relevant identification numbers

Requirements

* 1 year of experience in specialty pharmacy, medical insurance, healthcare setting, and/or related experience

• Must be patient: Hold times may be up to 90 minutes by client requirements
• Must have a private, designated workspace
• Must be MS Office proficient: Excel, Outlook, Word
• Must be flexible on schedule and hours
• Employment verification required: Last 3 employers
• High school diploma or equivalent
• Background check required

Preferred Qualifications

* 2+ years of experience in healthcare benefits verification

• Experience working with CRM systems and client program protocol requirements
• Strong communication and problem-solving skills
• Ability to work in a fast-paced environment and meet deadlines
• Strong attention to detail and organizational skills

Skills and Competencies

* Excellent communication and interpersonal skills

• Strong problem-solving and analytical skills
• Ability to work independently and as part of a team
• Strong attention to detail and organizational skills
• Ability to adapt to changing priorities and deadlines
• Strong technical skills, including proficiency in MS Office and CRM systems

Career Growth Opportunities and Learning Benefits

As a Reimbursement Specialist at arenaflex, you will have the opportunity to grow and develop your skills in a dynamic and supportive environment. We offer a range of training and development programs to help you achieve your career goals. Our team is committed to helping you succeed and reach your full potential.

Work Environment and Company Culture

arenaflex is a remote-friendly company that values flexibility and work-life balance. Our team is passionate about delivering exceptional services and making a positive impact on the lives of those we serve. We are committed to creating a positive and inclusive work environment that supports the well-being and success of our employees.

Compensation, Perks, and Benefits

* Competitive hourly rate: $18.00 per hour, with a rate of $19.00 per hour for 2+ years of experience in healthcare benefits verification

• Opportunity to work on a contract basis with a leading provider of innovative solutions in the healthcare industry
• Flexible scheduling and work arrangements
• Comprehensive training and development programs
• Opportunity to work with a dynamic and supportive team
• Competitive benefits package, including health insurance, paid time off, and retirement savings plan

How to Apply

If you are a motivated and experienced Reimbursement Specialist looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!

Note

arenaflex is an equal opportunities employer and welcomes applications from diverse candidates. We are committed to creating a positive and inclusive work environment that supports the well-being and success of our employees. Apply for this job