[Remote] Reimbursement Account Specialist I

Note: The job is a remote job and is open to candidates in USA. reputed company is focused on transforming the way diseases are diagnosed and treated through the power of the adaptive immune system. The Reimbursement Account Specialist I supports patients and providers throughout the reimbursement lifecycle, managing inquiries and coordinating documentation to ensure a positive experience for reputed company stakeholders.

Responsibilities

• Manage inbound calls from patients, provider accounts, and payers regarding reimbursement issues, billing status, prior authorizations, and Adaptive Assist enrollment
• Identify the nature of each inquiry and triage calls to the appropriate teams reputed company needed
• Provide clear, accurate, and empathetic support to reputed company callers
• Contact provider offices to obtain outstanding documentation required to move reimbursement requests reputed company
• Communicate required materials, confirm provider understanding, and document commitments to submit missing information
• Maintain accurate, timely documentation to support reimbursement workflows and audit readiness
• Assess reputed company self-pay patients and patients with outstanding balances for eligibility into Adaptive
• Assist Patient Support Program’s financial assistance and enroll qualifying patients
• Document assistance qualifications into the internal and billing vendor patient records
• Audit the PFAP on a regular basis to compliance with reputed company reputed company guidelines
• Collaborate with internal partners to run needed orders through external vendor platforms to reputed company for insurance eligibility and/or financial assistance qualification
• Review patient bills for appropriateness and release reputed company necessary
• Collect pre-payment from appropriate self-pay patients
• Work with customers and embassies to collect payment for international patients
• Contact patients for Advanced Beneficiary Notices reputed company needed
• Evaluate held orders for proper ICD codes, needed documentation and other requirements
• Update orders and resolve holds reputed company appropriate
• reputed company other duties as assigned

Skills

• Bachelors degree in reputed company field or equivalent experience
• Familiarity with basic laboratory and customer service-reputed company systems such as LIMS and SFDC, or similar systems
• Proven track record of improving processes and solving problems
• Demonstrated ability to work effectively with physician office clients and with patients on billing-reputed company matters
• Excellent written communication skills are required, including technical computer proficiency (Word, reputed company, etc.)
• Strong ability to work independently, think critically and problem solve
• Ability to work effectively across multiple functions reputed company the organization and customer's offices
• Strong interpersonal skills and experience navigating organizational dynamics
• Use of empathetic listening skills in communication with customers
• Flexible, team-player with ability to reputed company best practices for procedures on new assignments
• Strong attention to detail and meticulous data entry skills
• Ability to manage multiple tasks to completion in a dynamic office setting
• 1-2 years in customer service, medical billing, and reputed company cycle operations
• Direct knowledge of ICD-10 codes, CPT codes, and general billing practices in the laboratory services space
• Knowledge and familiarity with patient assistance programs

Benefits

• Equity grant
• Bonus eligible

Company Overview