Reimbursement Coordinator Position Available In Essex, Massachusetts

Job Listing ID:

4297760

Job Title:

Reimbursement Coordinator Application Deadline:

Open Until Filled

Job Location:

Salem

Date Posted:

06/24/2025

Hours Worked Per Week:

Not Provided Shift:

Not Provided Duration of Job:

Either Full or Part Time, more than 6 months You may contact this employer directly.
(Obtain the contact information to print or add to your jobs.)

Job Summary:

What Individualized Care contributes to Cardinal Health Customer Service is responsible for establishing, maintaining, and enhancing customer business through contract administration, customer orders, and problem resolution. Individualized Care provides care that is planned to meet the particular needs of an individual patient. Responsibilities First point of contact on inbound calls and determines needs and handles accordingly Creates and completes accurate applications for enrollment with a sense of urgency Scrutinizes forms and supporting documentation thoroughly for any missing information or new information to be added to the database Conducts outbound correspondence when necessary to help support the needs of the patient and/or program Resolve patient’s questions and any representative for the patient’s concerns regarding status of their request for assistance Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry Make all outbound calls to patient and/or provider to discuss any missing information and/or benefit related information Assess patient’s financial ability to afford therapy and provide hand on guidance to appropriate financial assistance Provides detailed activity notes as to what appropriate action is needed for the Benefit Investigation processing Working alongside teammates to best support the needs of the patient population Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product must be fully exhausted Track any payer/plan issues and report any changes, updates, or trends to management Search insurance options and explain various programs to the patient while helping them to select the best coverage option for their situation Handle all escalations based upon region and ensure proper communication of the resolution within required timeframe agreed upon by the client As needed conduct research associated with issues regarding the payer, physician’s office, and pharmacy to resolve issues swiftly Qualifications 3-6 years of experience, preferred High School Diploma, GED, or equivalent work experience, preferred Patient Support Service experience, preferred Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payer policies and guidelines for coverage, preferred Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred 1-2 years’ experience with Prior Authorization and Appeal submissions, preferred Ability to work with high volume production teams with an emphasis on quality Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook, and preferred Excel capabilities Previous medical experience is preferred Adaptable and Flexible, preferred Self-Motivated and Dependable, preferred Strong ability to problem solve, preferred Bilingual is preferred What is expected of you and others at this level Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments In-depth knowledge in technical or specialty area Applies advanced skills to resolve complex problems independently May modify p…

Job Classification:

Medical Secretaries and Administrative Assistants Access our statewide or regional occupation report for more information about wages,
employment outlooks, skills, training programs, related occupations, and more. Compensation

Salary:

Not Provided Job Requirements

Experience Required:

 See Job Summary

Education Required:

None

Minimum Age:

N/A Gender:

N/A