Reimbursement Specialist for Client Support Lines
Looking to expand hotline and reimbursement support services. Argenta Advisors, a national reimbursement consulting firm, is looking for a FT Reimbursement Support Specialist to provide customer support and reimbursement assistance to patients, providers and our device and biotech clients in a number of therapeutic areas.
Responsibilities will include but not be limited to: caller inquiry and response to coding, coverage and payment questions; provider guidance and education; case management and advocacy (i.e., obtain prior authorization and appeal support); policy research; and Ad Hoc projects, as requested. This visible position will interface with clients’ management and field staff, payer relations, physicians/facilities and their office personnel and billing departments, patients and third party payers.
Experience and Skills:
--2-5 years of experience working in a reimbursement capacity within a healthcare organization (i.e., insurance, device, pharmaceutical, consulting, physician’s office, billing office, etc) preferred. Will consider less experience if right candidate
--Previous experience in call centers, nursing, customer service and/or reimbursement in a medical device, biotech/pharma, or third party payer required. Clinical experience, helpful.
--Demonstrated knowledge of third party payers (Medicaid, Medicare and commercial) and case management process (prior authorization and appeals) required
--Customer support, provider or payer relation experience with proven ability to establish strong working relationships with customers
--Ability to juggle and balance multiple clients in multiple therapeutic areas
--Working knowledge of CPT, ICD-9, HCPCS coding; facility, ASC and physician reimbursement, desired
--Familiarity with HIPAA in accordance with regulatory compliance
--Strong communication, organizational and interpersonal skills
--Must be proficient with Microsoft office
--Ability to work independently and as a team member
--Bachelor’s degree in Business, Healthcare, Marketing or Life Sciences, a plus. Nursing a plus