reimbursement resource specialist.

Must Have: • Spanish speaking is essential • Minimum 3+ years of experience, in health insurance reimbursement, medical billing, or equivalent applicable work experience • Phone experience is required, ability to speak with health care providers, patients and insurance carriers • Ability to work in fast paced environment, collaborate team, communication is essential Nice to Have: • Salesforce CRM • Previous pharma experience  

salary: $36.25 - $36.26 per hour
shift: First
work hours: 9 AM - 4 PM
education: Bachelors

Responsibilities

• Assist with the verification of insurance coverage policies and benefit details through direct contact with medical insurance providers with prompt communication of accurate information to facilitate the initiation and ongoing continuation of treatment
• Research and identify insurance company prior authorization processes and provide necessary documents and requirements to Case Management team members
• Re-verify insurance benefits and coverage as needed to assist the Case Management Team with prompt service for Patients and Facilities.
• Assist case management team in the resolution of co-pay claim issues related to company's Co-Pay Assistance Program
• Coordinate within the functional Reimbursement Support Specialist team to ensure efficient assignment and distribution of tasks from the shared work queue
• Maintain up-to-date knowledge of the reimbursement process, healthcare policy, insurance plans, payer trends, financial assistance programs, and related resources




Skills

spanish

SalesForce.com

Verbal Communication

Qualifications

Years of experience: 2 years

Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

This posting is open for thirty (30) days.