Client Reimbursement Intake Specialist

Imagine360•,

7d•$50•Remote

About The Position

Imagine360 is seeking a Client Reimbursement Intake Specialist to work on the front line on behalf of clients and members, helping ensure plan members receive the healthcare services they need. The Specialist educates providers and members about health plan benefits, helps secure care appropriate to each case, and assists with member navigation and confirmation of benefits and member responsibility. This is a 100% remote position. Success depends on understanding Imagine360, its clients and plans, and the advocacy and negotiation role involved. The role also requires strong customer service, championing fair access to care, following guidelines, escalating challenges when needed, and maintaining open communication with key participants.

Requirements

Bachelor's degree.
At least 1 year of experience in healthcare, health insurance, or customer service.
Experience with negotiations.
Excellent written, verbal, and listening communication skills.
Strong interpersonal and analytical skills.

Nice To Haves

Experience in billing, insurance, healthcare, or legal environments.
Knowledge and understanding of CMS1500 and UB04 medical claim forms and medical coding.
Proficiency in Microsoft Office products.

Responsibilities

Understand Imagine360, its clients and plans, and the advocacy and negotiation role.
Initiate outreach to primary providers to explain plan benefits and, when possible, resolve cases before referring them to a Client Reimbursement Advocate.
Educate members and providers about how Imagine360 works with plans to secure quality care when a case is passed to an Advocate.
Research and confirm member benefits and financial responsibility as needed.
Review benchmark and Medicare rates for cases.
Help Advocates and members identify alternative provider options when a resolution cannot be secured with the provider.
Track and document communications and efforts on assigned matters to ensure smooth handoffs to Advocates.
Follow guidelines, escalate challenges for management review when needed, and maintain open, interactive communication with key participants.
Champion members and help ensure fair access to care through exceptional customer service.

Benefits

Multiple health plan options.
Company-paid employee premiums for disability and life insurance.
Parental leave policy.
20 days of PTO to start.
10 paid holidays.
Tuition reimbursement.
401(k) company contribution.
Company-paid short- and long-term disability and life insurance.
Professional development initiatives and continuous learning opportunities.
Opportunities to participate in and support the company's diversity and inclusion initiatives.