Reimbursement Specialist

Kindbody

15h•Remote

About The Position

As an experienced Reimbursement Specialist, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. We are looking for a dedicated Reimbursement Specialist to join our Enterprise Operations team to process reimbursement requests for our Enterprise members. This role will have a large emphasis on reviewing third-party (donor, adoption & surrogacy) documentation, medical documentation, and understanding Kindbody’s employer benefits. This is a remote role.

Requirements

5+ Healthcare or health plan billing experience in a fast-paced, customer-focused environment, with fertility clinic experience a plus
Strong written and verbal communication skills & a team player
Willingness to be flexible, roll with the punches, multitask, and troubleshoot problems
Detail-oriented with strong organizational skills
Exemplifies amazing customer service skills and professionalism
Experience in insurance verification of benefits and familiarity with health plan and medical terminology

Nice To Haves

Donor and/or surrogacy claims processing experience is a plus
Experience in the employer benefits space is a plus
A passion for women’s health, and fertility is a plus

Responsibilities

Review third party and medical expenses submitted for reimbursement and determine their eligibility for reimbursement
Refine the reimbursement processes/standard operating procedures as needed to increase efficiency and to meet client service level agreements
Subject matter expert for Kindbody Enterprise benefits, specifically coverage for third party services and understand the policy variations across all Enterprise clients
Ensure timeliness of reimbursement and payroll reimbursement processes
Coordinate with Kindbody billing teams for invoicing of reimbursable services
Complete payroll reimbursement reporting
Conduct eligibility verification for all Kindbody enterprise members
Review and understand employer contracts and benefits
Manage and respond to a high volume of inquiries in a positive and professional manner, resolve and follow up on all issues within designated timeframes.
Meet positional metrics and benchmarks
Follow all department standard operating procedures carefully and accurately
Support the rollout of any new automation for the reimbursement process, including training team members, creating/updating standard operating procedures and being the subject matter expert on the overall process.
Other duties as assigned by the Director
Manage inbound customer communication (phone, email & chat) and ensure all messages are answered in a timely fashion
Maintain clear communication and collaborate with stakeholders across the Enterprise team
Other duties and projects as assigned