Reimbursement Program Specialist

Job Responsibilities

• Partners with healthcare providers, government and advocacy agencies assigned to ensure proper program coverage and compliance
• Effectively maintains and communicates current company policies, procedures, and practices to ensure all departments have accurate, relevant information related to reimbursement programs
• Maintains and communicates current company policies, procedures, and practices to ensure all departments have accurate, relevant information related to reimbursement programs
• Maintains and communicates current company policies, procedures, and practices to ensure all departments have accurate, relevant information related to reimbursement programs
• Monitors regulatory agency policy changes to include research and communication of findings to internal stakeholders
• Aids in managing reimbursement related issues and policies/procedures, communicating trends and suggesting corrective actions to leadership
• Partners with internal departments to ensure customer orders are shipped and billed without reimbursement issues
• May act as a liaison between insurance companies, healthcare providers, and customers
• Supports the reimbursement programs as assigned by the department leader

Qualifications

• 3+ years working in a Reimbursement Programs position with knowledge of medical billing/coding and insurance reimbursement processes
• Bachelor’s degree in healthcare administration, public health, business, organizational management, or equivalent experience in healthcare compliance
• Proficiency in Microsoft 365 (Excel, PowerPoint, Word, SharePoint, Teams)
• A thorough understanding of HIPAA regulations, requirements, and guidelines, familiar with the privacy and security rules and how they apply to healthcare
• Skilled in fostering collaborative relationships across internal teams and with external partners
• Excellent written and verbal communication skills
• Strong organizational skills, with extreme attention to details, the ability to manage multiple priorities, projects, respond to changing business needs, and meet critical deadlines
• Strong analytical and problem-solving skills