Reimbursement Case Manager
TalentLNX
West Mifflin, pennsylvania
Job Details
Full-time
Full Job Description
Summary:
TalentLNX is currently seeking a motivated and detail-oriented individual to join our team as a Reimbursement Case Manager. In this role, you will be responsible for managing the reimbursement process for healthcare providers and ensuring timely and accurate payment for services rendered. This is a great opportunity for someone with strong analytical skills and a passion for customer service to make a meaningful impact in the healthcare industry.
Role & Responsibilities:
- Serve as the main point of contact for healthcare providers regarding reimbursement inquiries and claims processing.
- Conduct comprehensive reviews of reimbursement claims to identify any inaccuracies or discrepancies.
- Collaborate with internal teams to resolve any issues or discrepancies identified during the review process.
- Process reimbursement claims in accordance with relevant regulations and company policies.
- Maintain accurate records of all reimbursement activities, including claim status and payment details.
- Provide ongoing support and guidance to healthcare providers to ensure understanding of the reimbursement process and facilitate timely payment.
- Stay updated on industry regulations and changes to reimbursement guidelines to ensure compliance and proper handling of claims.
- Assist in the development and implementation of new reimbursement processes and procedures to improve efficiency and accuracy.
- Foster positive relationships with healthcare providers and provide exceptional customer service.
- Perform additional duties as assigned.
Work Environment:
- This is a full-time position, working 40 hours per week.
- The role operates in a professional office environment.
- Some travel may be required to attend meetings or conferences.
Qualifications:
- Bachelor's degree in healthcare administration, business, or a related field.
- Minimum of 2 years of experience in healthcare reimbursement or a similar role.
- Strong analytical and problem-solving skills, with the ability to review and interpret complex reimbursement guidelines and regulations.
- Excellent communication and interpersonal skills, with the ability to effectively communicate with healthcare providers and internal teams.
- Detail-oriented with strong organizational skills.
- Proficiency in Microsoft Office programs, particularly Excel and Word.
- Knowledge of healthcare reimbursement systems and processes.
- Ability to work independently and as part of a team to meet deadlines and achieve goals.
TalentLNX is excited to connect qualified candidates with this opportunity to contribute to the success of healthcare providers through effective reimbursement management.
Requirements
Required Qualifications:
- Bachelor's degree in healthcare administration, business, or a related field
- Minimum of 2 years of experience in healthcare reimbursement or a similar role
- Strong analytical and problem-solving skills
- Excellent communication and interpersonal skills
- Detail-oriented with strong organizational skills
- Proficiency in Microsoft Office programs, particularly Excel and Word
- Knowledge of healthcare reimbursement systems and processes
Benefits
- Health Care Plan (Medical, Dental & Vision)
- Paid Time Off (Vacation, Sick & Public Holidays)
- Family Leave (Maternity, Paternity)
- Short Term & Long Term Disability
- Training & Development
- Work From Home
- Wellness Resources