Kelly Services is looking for a Sr. Benefits Reimbursement
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
Investigation of benefits and eligibility by phone and/or
internet to determine coverage choices patient has in starting
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
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
Identify and escalate repetitive questions and/or problems so
that corrective action can be pursued and expedited.
Other duties as assigned.Ã¢??
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
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