Medical Reimbursement Analyst
Job Summary/Company: Sparks Group has partnered with a leader in healthcare services that has an immediate need for experienced Medical Reimbursement Analysts for a 5 month contract. Position is on site in Serling, VA preferrably but open to remote workers in Texas, North Carolina, Alabama, Florida, Indiana and Georgia. If you have 2+ years of direct industry experience, love interacting with customers and working in a fast paced environment this may be the perfect opportunity for you. Apply today!
Responsibilities :
- Manage complex billing, coding, insurance inquiries, and appeals.
- Coordinate with payers, Patient Navigators, and clients.
- Resolve denied or underpaid claims.
- Assess patient insurance coverage and eligibility.
- Reverify benefits and document activities.
- Serve as a regional contact for senior-level clients.
- Coordinate tasks between the client.
- Communicate with Patient Navigators for patient progress.
- Attend client meetings, training, and conferences (5% travel).
- Research payer medical policy and update requirements.
- Prepare and review reports as needed.
- Complete quality monitoring and assurance tasks.
- Host conference calls with senior-level clients.
- Review and process documentation for patient support program eligibility.
- Additional tasks and duties as assigned.
Qualifications/Background Profile:
- Bachelor's degree or equivalent experience.
- Minimum 4 years of recent healthcare experience (2 years direct industry preferred).
- Demonstrated proficiency in Microsoft Office applications.
- Exceptional customer service skills, with a preference for call center experience.
- Advanced problem-solving, research, and analytical capabilities.
- Excellent written and verbal communication skills.
- Meticulous attention to detail and exceptional data entry accuracy.
- Proven ability to effectively manage multiple tasks and prioritize work independently.
- Must pass a criminal background screening.
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