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Sr. Reimbursement Specialist

Company: Kelly
Location: Lake Mary
Posted on: November 22, 2020

Job Description:

Kelly Services is looking for a Sr. Benefits Reimbursement Specialist.

Brief Description:

Provide the highest quality of customer service to patients and client representatives, which entails acquiring in depth knowledge of client and marketing requirements. Complete verification of Benefits and Eligibility for all referrals from patients, healthcare providers (HCPs), health plans and pharmaceutical manufacturers. Investigation of benefits and eligibility by phone and/or internet to determine coverage choices patient has in starting on therapy.

Specific job duties :

Review incoming referrals for completeness of and confirm FDA requirements are met. These are typically received via facsimile, Web portal or client partner download.

Answer all Incoming calls on Hotline quickly and efficiently, evaluate their need and respond or disseminate call to appropriate member of team.

Follow up and complete verification of Benefits and Eligibility for all referrals from patients, HCPs, health plans and pharmaceutical manufacturers.

Investigation of benefits and eligibility by phone and/or internet to determine coverage choices patient has in starting therapy.

Participate in Call Center Activities, triage and respond to incoming calls from patients, insurance companies, physicians, Sales Reps, pharmacies and homecare agencies.

May serve as single point of contact for an assigned group of prescribers.

Effectively manage and work though action item list to ensure it is current and tasks are completed in a timely fashion.

Maintain accurate and complete documentation of all inquiries.

Identify and escalate repetitive questions and/or problems so that corrective action can be pursued and expedited.

Other duties as assigned.â??

Desired Skills and Qualifications:

Minimum High School Diploma or GED equivalent required, Bachelor’s Degree preferred

3 – 5 years of experience in the insurance, biotechnology, or pharmaceutical industries, customer service or reimbursement. Health insurance claims or patient accounting experience a plus.

Computer proficiency in MS Office applications, with database experience a plus.

Excellent written and verbal communication skills, demonstrated ability to communicate with others at all levels.

Ability to manage multiple priorities and meet deadlines.

Detail oriented with good analytical skills.

Knowledge of third party billing, coding, medical terminology, prior authorizations and appeals preferred.

Why Kelly ® ?

As a worker today, it’s up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping you find what’s next is what we’re all about. We know what’s going on in the evolving world of work—just ask the 440,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.

About Kelly ®

At Kelly, we’re always thinking about what’s next and advising job seekers on new ways of working to reach their full potential. In fact, we’re a leading advocate for temporary/non-traditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.

Kelly is an equal opportunity employer committed to employing a diverse workforce and providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with applicants to meet accommodation needs that are made known to Kelly in advance.

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Keywords: Kelly, Orlando , Sr. Reimbursement Specialist, Other , Lake Mary, Florida

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