Reimbursement Specialist (Customer Service) - Fully Remote Opportunity with blithequark

Join blithequark's Remote Team as a Reimbursement Specialist blithequark is seeking a highly skilled and experienced Reimbursement Specialist to join our team on a contract, project basis. As a Reimbursement Specialist, you will play a critical role in verifying patient insurance benefits, ensuring seamless coverage throughout their treatment period, and facilitating reimbursement for healthcare providers. This is an exciting opportunity to work with a dynamic team and make a meaningful impact in the healthcare industry. About blithequark and the Healthcare Industry blithequark is at the forefront of innovation in the healthcare industry, leveraging technology and expertise to streamline processes and improve patient outcomes. As a Reimbursement Specialist, you will be an integral part of our team, working closely with healthcare providers, insurance companies, and patients to ensure accurate and timely reimbursement. With a strong focus on customer service and support, you will be the primary point of contact for resolving insurance-related queries and concerns. Key Responsibilities Place outbound calls to insurance providers to verify patient insurance benefits, coverage changes, and network status. Manage a high volume of calls, aiming to complete 35+ daily, with a minimum of 20 cases closed per day. 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. Provide exceptional customer service to internal and external customers, resolving requests promptly and escalating complaints as needed. Maintain regular phone contact with provider representatives, third-party customer service reps, and pharmacy staff. Effectively communicate with payors for benefit investigations and coordinate with inter-departmental associates as necessary. Process insurance and patient correspondence, reporting reimbursement trends or delays to the supervisor. Analyze moderate scope problems within defined SOPs, exercising judgment to determine appropriate actions. Report all adverse events in line with training and SOP, performing related duties as assigned with minimal instruction. Essential Qualifications 1+ year of experience in specialty pharmacy, medical insurance, healthcare setting, or related experience. High school diploma or equivalent. Proficient in MS Office, including Excel, Outlook, and Word. Ability to work in a private, designated workspace with minimal distractions. Patient and flexible, with the ability to handle long hold times (up to 90 minutes) and adapt to changing schedules and hours. Employment verification required for the last 3 employers. Background check required. Preferred Qualifications 2+ years of experience in healthcare benefits verification, with a deep understanding of insurance processes and regulations. Previous experience working in a call center or customer-facing environment. Familiarity with healthcare industry terminology, procedures, and best practices. Skills and Competencies To succeed as a Reimbursement Specialist at blithequark, you will need to possess: Excellent communication and interpersonal skills, with the ability to effectively interact with diverse stakeholders. Strong analytical and problem-solving skills, with the ability to analyze complex insurance-related issues. Proficient technical skills, including MS Office and the ability to learn new systems and software. A customer-centric approach, with a focus on delivering exceptional service and support. Flexibility and adaptability, with the ability to adjust to changing priorities and schedules. What We Offer As a Reimbursement Specialist at blithequark, you will have the opportunity to: Work on a fully remote basis, with the flexibility to manage your schedule. Develop your skills and expertise in healthcare benefits verification and customer service. Collaborate with a dynamic team of professionals who are passionate about delivering exceptional service. Earn a competitive hourly rate of $18.00 ($19.00 for 2+ years of experience in healthcare benefits verification). Enjoy a range of benefits, including paid training and opportunities for career growth and development. Compensation and Benefits blithequark offers a competitive compensation package, including: Hourly rate: $18.00 ($19.00 for 2+ years of experience in healthcare benefits verification). Paid training during the month of December. Opportunities for career growth and development within the company. A comprehensive benefits package (details available upon request). Training and Onboarding As a Reimbursement Specialist at blithequark, you will undergo a comprehensive training program, including: Approximately 3 weeks of training, consisting of practice and mock calls. Hands-on training on the CRM system and client program protocol requirements. Various assessments during training to ensure you meet program score requirements by December 31. Schedule and Work Arrangements This is a contract, project role with a start date of December 1, 2024, and an end date of February 15, 2025. You will be required to work: M-F, between the hours of 8:00 AM to 8:00 PM EST (40 hours per week). A assigned schedule, with a 1-hour lunch break and adherence to assigned break schedules. Potential weekend work starting in January (overtime will be voluntary, with client approval). How to Apply If you are a motivated and experienced professional looking for a challenging and rewarding role, we encourage you to apply for this exciting opportunity with blithequark. 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 opportunity to join blithequark's remote team and make a meaningful impact in the healthcare industry. Apply now and take the first step towards a rewarding and challenging career as a Reimbursement Specialist! Apply for this job