Join Our Team as a Reimbursement Specialist: Make a Difference in Healthcare
We're seeking highly skilled and dedicated Call Center Representatives to join our team on a contract basis for a critical project in the healthcare industry. As a Reimbursement Specialist, you will play a vital role in ensuring that patients receive uninterrupted care by verifying their insurance benefits and coverage. This is a unique opportunity to work with a dynamic team and make a tangible impact on people's lives.
About the Project
Our client is a leading healthcare organization that requires experienced Call Center Representatives to support their operations. The project involves verifying patient insurance benefits to ensure that healthcare providers receive timely reimbursement for their services. As a Reimbursement Specialist, you will be responsible for making outbound calls to insurance providers, verifying coverage, and resolving any issues that may arise.
Key Responsibilities
- Place outbound calls to insurance providers to verify patient insurance benefits and coverage (approximately 35+ calls daily)
- Collect and review patient insurance benefit information according to program Standard Operating Procedures (SOPs)
- Complete and submit insurance forms and prior authorizations in a timely manner, ensuring accuracy and adherence to third-party payer requirements
- Assist physician office staff and patients with insurance forms and program applications, providing exceptional customer service and resolving requests promptly
- Maintain regular phone contact with provider representatives, third-party customer service reps, and pharmacy staff to coordinate benefits and resolve issues
- Process insurance and patient correspondence, report reimbursement trends or delays to the supervisor, and provide necessary documentation for prior authorizations
- Analyze moderate scope problems within defined SOPs, exercising judgment to determine appropriate actions, and report adverse events in line with training and SOP
Essential Qualifications
- 1+ year of experience in specialty pharmacy, medical insurance, healthcare setting, or related experience
- Knowledge of co-pay, deductible, and health insurance concepts
- Recent health insurance call center experience (1+ year)
- High school diploma or equivalent
- MS Office proficiency (Excel, Outlook, Word)
- Ability to work in a private, designated workspace with minimal distractions
- Flexibility on schedule and hours, with availability to work 40 hours per week, including potential weekend shifts starting in January
- Personal cellphone for Multi-Factor Authentication (MFA)
- Employment verification required for last 3 employers
Preferred Qualifications
- 2+ years of experience in healthcare benefits verification, with a proven track record of success
- Strong knowledge of insurance industry trends, regulations, and best practices
- Excellent communication and interpersonal skills, with the ability to effectively interact with diverse stakeholders
- Proficient in using CRM software and other relevant technology platforms
- Ability to work independently and as part of a remote team, with minimal supervision
What We Offer
We offer a competitive hourly rate of $17-$19 per hour, depending on experience, for this contract role. You will also have the opportunity to work with a dynamic team and gain valuable experience in the healthcare industry. Our company culture values flexibility, innovation, and teamwork, and we're committed to providing a supportive and inclusive work environment.
Training and Support
We provide comprehensive training to ensure your success in this role. The training program includes:
- Approximately 3 weeks of training, with a combination of online modules and live sessions
- Hands-on practice and mock calls to simulate real-world scenarios
- Assessments and evaluations to ensure you meet program score requirements by December 31
- Ongoing support and coaching from experienced team members and supervisors
Career Growth Opportunities
This contract role offers a unique opportunity to gain experience in the healthcare industry and develop valuable skills in insurance benefits verification. You will have the chance to work with a dynamic team and build a strong network of professionals in the field. With dedication and hard work, you can position yourself for future career growth and advancement opportunities.
Work Environment
This is a fully remote role, allowing you to work from the comfort of your own home. However, you must be able to pick up and return equipment in Lake Mary, FL, and have a private, designated workspace with minimal distractions.
Schedule and Hours
The project schedule is Monday to Friday, with assigned hours between 8:00 AM and 8:00 PM EST (40 hours per week). You may be required to work weekend shifts starting in January, and overtime may be necessary with client approval.
How to Apply
If you're a motivated and experienced Call Center Representative looking for a new challenge, we encourage you to apply for this exciting opportunity. To get started, please:
- Attend a position information session with Team Hiregy (face-to-face meeting)
- Sign the Right to Represent agreement to work with Hiregy on the project
- Complete the Spark Hire one-way video interview
- Successfully participate in and complete all new hire requirements, including picking up equipment in Lake Mary, FL, and completing mandatory online pre-assignment links (HIPAA, etc.)
Don't miss this chance to join our team and make a meaningful contribution to the healthcare industry. Apply now and take the first step towards a rewarding and challenging career as a Reimbursement Specialist!
Apply Now