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Healthcare Reimbursement Specialists

Company: Kelly Services
Location: Columbia
Posted on: July 14, 2019

Job Description:

Kelly Services is seeking experienced Healthcare Reimbursement Specialists for our global manufacturing client in Columbia, MD. These are full time, temp to hire positions paying $21.00/hr. to start with benefits available in the first 30 days. Pay increases to $25.00/hr. upon hire with full benefits. Monday-Friday 8am to 5pm, 9am to 6pm, and 10am to 7pm schedules.

The Reimbursement Specialist (RS) is responsible for various reimbursement functions, including but not limited to Intake, Data Entry, Benefit Investigations, and Call Triage. This is a front-line position in a fast paced, results driven environment. The Reimbursement Specialist (RS) responds to all provider, patient, and internal requests in a timely fashion and is responsible for providing patient specific coding, coverage, and reimbursement information to the hotline's customers. The Reimbursement Specialist (RS) will appropriately document all interactions into the database system.

- Acts as single point of contact and voice for all providers, patients and product / sales team.

- Initiates and coordinates the insurance verification for physicians, hospitals, and ambulatory surgery centers for all company products.

- Performs a detailed insurance verification for all product and applicable procedures to the degree authorized by the SOP of the program.

- Manages a regional case load.

- Answers technical reimbursement questions for providers, billing and coding staff, and sales representatives.

- Accurately records all reimbursement correspondence and research in the database per the assigned fields and required metrics.

- Analyzes data and draws valid and logical conclusions based on information provided by insurers and documented medical policies.

- Communicates insurance verification, prior authorization, and denied claim results to customers and answers all related questions.

- Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.

- Prioritizes duties and tasks as necessary to ensure assignments are completed in a timely fashion. Reports any reimbursement trends/delays to Team Lead.

- Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercise judgment within defined standard operating procedures to determine appropriate action.

- Performs related duties as assigned.

Qualifications

- 1-3 years of customer service and reimbursement experience within the biotechnology, medical or pharmaceutical industry

- Knowledge of Medicare, Medicaid, and Private Insurer Reimbursement Methodology

- Able to interpret and analyze detailed Medical policies

- Basic understanding of the benefits investigation process [deductible, out of pocket, benefits exclusions, etc.]

- Familiar with ICD 10 Coding

- Familiar with Wound Care

- Previous coding and billing experience in provider office or hospital setting

- Strong quality orientation including the ability to focus on details and adherence to standards while ethically maintaining a business perspective

- Able to handle high pressure situations and constructively resolve potential conflicts

- College degree preferred or in progress

In addition to working with the world's most recognized and trusted name in staffing, Kelly employees can expect:



  • Competitive pay

  • Medical, Vision, and Dental insurance options

  • Paid holidays

  • Year-end bonus program

  • Recognition and incentive programs

  • Access to continuing education via the Kelly Learning Center

    Important information: This position is recruited for by a remote Kelly office, not your local Kelly branch. To be considered for this position, you must use the "submit now" button below to submit your resumes. If you have questions about the position, you may contact the recruiter recruiting for this position (Melody at meld187@kellyservices.com) however your resume must be received via the "submit now" button included within.

    We invite you to bookmark our Web site and encourage you to review it regularly for new opportunities worldwide: www.kellyservices.com.

    Kelly Services® is a U.S.-based Fortune 500 company. With our global network of branch locations, we are uniquely positioned to provide our customers with international staffing support and our employees with diverse assignments around the world.

    Kelly Services is an Equal Opportunity Employer.Why Kelly®?At Kelly

    Services®, we work with the best. Our clients include 95 of the Fortune

    100™ companies, and more than 70,000 hiring managers rely on Kelly annually to access

    the best talent to drive their business forward. If you only make one career connection today, connect

    with Kelly.About

    Kelly Services®As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people

    around the world and have a role in connecting thousands more with work through our global network of

    talent suppliers and partners. Revenue in 2017 was $5.4 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter.

    Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females,

    Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is

    committed to employing a diverse workforce. Equal Employment Opportunity

    is The Law.

Keywords: Kelly Services, Baltimore , Healthcare Reimbursement Specialists, Healthcare , Columbia, Maryland

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