Position Available In Middlesex, Massachusetts

Reimbursement Authorization Specialist (a)

AYER, UNITED STATES

FULL-TIME 100%
2 DAYS

HOME OFFICE POSSIBLE

EQUAL

OPPORTUNITY

We work directly on behalf of Ajinomoto Cambrooke and do not charge any agency fees. What this position has to offer: ???? Work for a global leader & innovator in the field of advanced medical nutrition
???? Be part of a collaborative and creative team that supports each other
????️ 3 weeks paid leave
???? Competitive health benefits Interested? Then book a call with us now! I Am Interested
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What You Will Be Doing
Ensure Ajinomoto Cambrooke, Inc. (ACI) has the necessary documentation to start the referral process. Contact healthcare professionals, state agencies, and payers (insurance companies) for clinical documents, eligibility, benefits, prior authorization, single case agreements, letter of agreements and any other items to ensure payment on an as needed basis (e.g., when authorization expires).
Assists in uploading current documents and populating required fields in Sales Force.
Continue to work and maintain such documents so effective dates are always current.
Ensures all incoming requests are worked and responded to timely, following the guidelines set forth within Revenue Cycle Department. Coordinate with other contracted Durable Medical Equipment companies and/or Pharmacies to ensure that patient(s) and their families can obtain the formula and medical foods they require.
Provides assistance and guidance for patient(s) and their families working through eligibility, benefit verification and prior authorization process with payers.
Provides excellent customer service resolving inquiries & issues in a timely, professional, and caring manner with compassion and drive to ensure patient(s) and their families receive optimal coverage so they can receive Cambrooke products with the least financial impact on them.
Prioritizes Pre-Order Tracker and Cases that are “In process” beyond 30 days. Maintain medical records in compliance with HIPAA rules and regulations.
Adhering to all company SOPs with regards quality and safety.
What You Bring To The Job
Minimum High School Diploma or equivalent.
Multiple years work experience in medical billing, eligibility, authorization, and interaction with payers.
Understanding of HCPCs and ICD10 coding.
Knowledge of third-party rules and regulations to include contracts and agreements. Proficiency in Microsoft Office; Excel, Word, Teams, etc.
Ability to multi-task, with attention to detail to ensure accuracy. Able to prioritize work, anticipate department needs, plan accordingly and able to handle the many interruptions with ease.
Strong written and oral communications skills required to provide excellent customer service and/or Revenue Cycle updates. Demonstrated sense of compassion and drive to ensure patient(s) and their families receive optimal coverage so they can receive Cambrooke products.
Ability to work independently with minimal direction, take initiative within scope of work responsibilities Must be a strong team player working with the various Revenue Cycle Teams and be able to initiate activity and/or promptly communicate & mentor others.
Must have great listening skills to work with team members, other colleagues, and outside customers & clinics, to identify and initiate suggestions, guidance and/or resolution.
Must be results and people-orientated having the ability to balance business and relationship considerations.
Knowledge of HIPAA and the ability to maintain confidential information security relative to all company’s proprietary information.
Must maintain information security with regard to all company’s proprietary information.

English:

C1 – Advanced
Nice-to-Haves
College degree.
Previous experience with SalesForce or Nexternal preferred.
Team You can expect a friendly team that always supports each other and maintains a very open and collegial atmosphere. The corporate culture is characterized by flat hierarchies, direct communication, and transparency at all levels. You will be given plenty of room for individual development, both professionally and personally.

Reports to:

Director of Revenue Cycle

Team Language:

English
Next Steps
I Am Interested Check if the salary matches your expectations and if you meet the basic requirements. Schedule a Call Select a 20-min slot for a call with a Lionstep recruiter to find out if it’s the right job for you. If There’s a Match Lionstep will connect you directly to the employer to take the process further. If There’s No Match Lionstep will look for other opportunities you might like and contact you again.