Temporary Reimbursement Operations Support Specialist Employment Solutions of

NY - 3.3

Lone Tree, CO Job Details Contract $28 an hour 12 hours ago Qualifications Health insurance co-pays Overseeing health insurance pre-certification DME Phone communication Workflow management (operations management method) Triage Mid-level Durable medical equipment (DME) coordination Administrative experience Salesforce Cloud Decision making Data verification Organizational skills CRM system proficiency Data collection 1 year Documentation review Communication skills Quality data entry Documentation reviews Client interaction via phone calls

Full Job Description Position:

Contract Reimbursement Operations Support Specialist Location:

Lone Tree, CO (Tech Center) Hybrid - 2-3 days onsite (M-F from 8:00-5:00) This is a Contract Position paying between $28/hr per hour depending on the level of experience. General Description We are seeking a detail-oriented, systems-savvy Reimbursement Operations Support Specialist to provide short-term support to our Reimbursement Operations (ROPS) team. This role supports the end-to-end reimbursement workflow through order review, documentation collection and validation, benefit investigation, authorization support, and professional communication with insurance providers, recipients, clinicians, and internal partners. Key Roles and Responsibilities Order Review & Reimbursement Triage Review submitted orders and supporting files for completeness, accuracy, and alignment with payer criteria and guidelines Assess each order holistically, identify outstanding requirements, determine the next best action, and manage follow-up through completion Request corrected or replacement documentation when submitted materials do not meet requirements Documentation Collection & Validation Request, collect, organize, and validate required documentation from recipients, clinicians, insurance providers, and internal partners Obtain prescriptions, clinical chart notes, insurance authorizations, financial consent forms, and Advance Beneficiary Notices (ABNs), as applicable Follow up consistently on outstanding documentation and patient requirements Benefit Investigation & Financial Review Complete benefit investigations and financial reviews with commercial payers, including deductibles, coinsurance, out-of-pocket maximums, and insurance allowables Prepare and send financial consent letters communicating estimated out-of-pocket responsibility Follow up to collect required coinsurance before shipment, when applicable Authorization & Payer Coordination Coordinate with insurance providers to obtain prior authorizations and resolve payer requirements Support one-time rate agreements and in-network waivers when needed to secure appropriate payment arrangements Phone & Written Communication Place professional, confident outbound calls to insurance providers, recipients, and clinicians to collect information, answer questions, and resolve requirements Communicate professionally using approved templates and sound judgment when customization is needed Coordinate with internal partners and redirect requests to the appropriate resource when needed System & Workflow Management Perform accurate, high-volume work across Salesforce Health Cloud, Brightree, and related systems Maintain clear, timely notes showing completed work, outstanding items, and the next required action Requirements Experience 1-3+ years in reimbursement operations, healthcare administration, insurance support, data entry, operations, or administrative roles Experience in high-volume, process-driven environments preferred Experience with DME, healthcare reimbursement, insurance verification, benefit investigation, prior authorization, or multiple payer workflows strongly preferred Systems Experience (Preferred) Salesforce Health Cloud or another healthcare CRM Brightree or a similar DME or healthcare workflow management platform Skills & Competencies Professional, confident phone presence and strong written communication skills High attention to detail, organization, and follow-through Ability to work independently from queues and worklists, assess orders holistically, and determine the next best action Comfort navigating multiple systems and managing structured, recurring work with consistency Flexibility, urgency, and the ability to learn and apply changing processes quickly AimHire is an Equal Opportunity/Affirmative Action Employer. #IND2