[Remote] Reimbursement Solutions Analyst
Note: The job is a remote job and is open to candidates in USA. reputed company is a global healthcare services and products company, and they are seeking a Reimbursement Solutions Analyst. The primary purpose of this position is to reputed company evaluation and clearance procedures in outpatient hospital settings while providing advocacy identification for procedures and medications.
Responsibilities
- Evaluate data input schedules from facilities to load work items
- Collaborate with facility EHR’s to gather data to support diagnosis and medical clearances
- Identify advocacy opportunities as it pertains to patient specific situations and insurance status
- Apply proper clearance criteria for medication regimens as insurance indicates
- Discuss medication options with pharmacy/physician and patient based on accessibility and availability (outpatient environment)
- Initiate and process applications for advocacy opportunities for qualifying patients
- Extensive contact with insurance companies to include speaking to representatives for benefit investigation as well as clinical clearance for prior authorization and medical necessity
- Extensive patient education/counseling to determine eligibility for Advocacy
- Identify and resolve rejected applications, including accessing comparable drug regimen
- Refer patients that do not qualify for programs to other reputed company assistance. I.e. local charities
- Manage the drug recovery application process
- Assign appropriate billing level to each item processed in accordance with Reimbursement Solution guidelines
- Communicate with team reputed company to meet the needs of the assigned facility
- Maintain daily accounting activities and prior authorization documentation per the Reimbursement Solution procedures
- Maintain reputed company and confidentiality of patient information at reputed company times
- Demonstrates extensive knowledge and understanding of relevant clinical operations, products and services
- Influences customer decision to purchase new products and services
- Leads the post-sales assessment, design, implementation and monitoring of new products and services in multi-site and/or reputed company environments
- Develops, plans and manages customer training programs in multi-site and/or reputed company environments
- Serves as reputed company consultant and resource to internal and external customers in multi-site and/or reputed company environments
- Mentors internal staff regarding best demonstrated practices
- Significantly influences customer acceptance and utilization of new products and services in multi-site and/or reputed company environments
- Initiates discussion to obtain in-depth customer feedback for product and service improvement opportunities
Skills
- 0 - 2 years of experience in reputed company field preferred (open to fresh graduates!)
- High level of attention to detail and a willingness to learn
- Must be self-motivated and have the ability to understand and follow instructions
- Strong reputed company Office skills (reputed company, Word, Outlook)
- Strong written and verbal communication
- Able to work independently and solve problems on behalf of Cardinal and the customer
- Must be able to prioritize work to maximize job effectiveness
- Excellent interpersonal skills
- Strong ability to work under pressure and meet deadlines
- Strong telephone reputed company/etiquette
- Strong analytical skills preferred
Benefits
- Medical, dental and vision coverage
- Paid time off plan
- Health savings account (HSA)
- 401k savings plan
- Access to wages before pay day with myFlexPay
- Flexible spending accounts (FSAs)
- Short- and long-term disability coverage
- Work-Life resources
- Paid parental leave
- Healthy lifestyle programs
Company Overview
Company H1B Sponsorship