Reimbursement Representative
About The Position
The Reimbursement Representative is responsible for the day-to-day infusion referral/intake process pertaining to benefit verification and insurance pre-authorization of all infusion clients. Is a knowledgeable resource with issues relating to Payor contracts. Coordinates with and supports scheduling for infusion patients with the pharmacy and charge nurse. Provides communication linkages with prescribing provider, nursing staff, pharmacy staff and payors. This is an intermediate level patient account position. Work situations are a variety of routine and reoccurring functions which require a service-oriented attitude, organization, attention to detail, accuracy, and decision making within the scope of the position’s responsibilities. Internal contacts are primarily within the workgroup. This position has extensive external contacts including providers, payors, clients and their families.
Requirements
- Two years of College development course work or 3 years relevant experience in referral intake and/or marketing
- Minimum three (3) years recent infusion, reimbursement or related experience interacting with a multidisciplinary health care team
Responsibilities
- Day-to day infusion referral/intake process including insurance benefit verification and pre-authorization.
- Multi-disciplinary communication with providers, nursing staff, pharmacy staff, payors, and patients for scheduling and intake.
Benefits
- Competitive salary
- Medical
- Dental
- Retirement benefits
- Paid time off
- Competitive tuition assistance
- Award-winning residencies
- Fellowships and career development
- Generous PTO
- Code Lavender
- Employee Assistance Programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
