Purchase Reimbursement Coordinator
About The Position
GGRC is currently hiring for a Purchase Reimbursement Specialist. This role will coordinate and process caregiver reimbursements for out-of-pocket expenses incurred for services for an individual enrolled in the Golden Gate Regional Center (GGRC) Early Start program. Communicate and work with caregivers to obtain the needed documents from their health insurance company to be reimbursed by GGRC. Partner with service coordinators and the vendorization unit to complete reimbursement process. Submit purchase of service authorizations (POS) for caregiver reimbursement. This is a Hybrid flex schedule role offering the opportunity to work in the community, from any of our offices located in San Francisco, San Mateo and Marin County and from the comfort of your own home.
Requirements
- Written communication: ability to develop standard business communications, using proper grammar, spelling and punctuation
- Oral communication: ability to convey complex information and ideas in a clear, concise, and professional manner
- Ability to operate basic office equipment, including scanners, copiers, faxes, phones
- Basic familiarity with MS Word®, MS Excel®, MS PowerPoint®, MS Outlook® or similar software applications
- Ability to use internal records system
- Ability to type 60 wpm
- Use of discretion and ability to maintain confidentiality
- Basic understating of health insurance billing and terminology such as co-payments, coinsurance, deductibles, and evidence of benefit
- Associate Degree or equivalent
- Basic understanding of health insurance billing and terminology
- Knowledge of administrative and clerical procedures and systems, managing files and records, designing forms, and other office procedures and terminology
Nice To Haves
- B.A Preferred
Responsibilities
- Review individual serve’s eligibility for service reimbursement
- Communicate with caregivers verbally and via email regarding insurance coverage for the child’s early intervention services that are listed in the individualized family service plan (IFSP)
- Review and analyze insurance documents such as evidence of benefit statements, invoices, and service receipts
- Ensures compliance with policies and guidelines stated by the Department of Developmental Services (DDS)
- Maintain all client information as confidential in compliance with the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the California Lanterman Act
- Review service page of individualized family service plan (IFSP)
- Communicate with insurance claims department to obtain needed documents
- Submit purchase of service authorizations for caregiver reimbursement
- Coordinate with Golden Gate Regional Center (GGRC) vendorization unit for caregiver reimbursement process
- Manage purchase reimbursement email box
- Respond to caregiver and service coordinator inquiries
- Educate caregivers on purchase reimbursement process for Early Start
- Work with Clinical Operations Manager for any cases that needs managerial guidance
- Identify and track reimbursement requests and their corresponding fiscal year due date
- Track case statuses
- Prepare copay worksheet and assemble individual packets for submission to GGRC vendorization unit
- Receive and coordinate new referrals for purchase reimbursements from service coordinators
- Track, collect stats and numbers for Early Start quarterly dashboard for reporting purposes
Benefits
- Medical and Dental benefits with a generous employer contribution
- Additional employer paid Life, Disability and Vision coverage
- 10% employer contribution to a 403(b) retirement account
- 13 vacation days
- 15 sick days
- 11 paid holidays
- 6 personal holidays
- Up to 5 paid days for continuing education
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
