What are the responsibilities and job description for the Insurance Reimbursement Specialist position at Maven Wise, LLC?
Maven Wise, LLC is recruiting for an Insurance Reimbursement Specialist to support insurance reimbursement for pre-sales and post-sales service functions with a globally recognized medical devices manufacturer in Valencia, CA. Upon completion of in-person training, remote working is an option.
*Must be able to calculate deductibles and co-pays*
Here’s your day-to-day:
- Verify benefits, prepares pre-authorization requests.
- Document approvals and follow-up with appeals in response to insurance denials.
- Obtains patient information and maintains database of patient files.
- Facilitates communication between insurers, clinics and patients to expedite exchange of required data as it relates to insurance problems.
- Establish working relationship with centers’ billing staff.
- Inbound and outbound telephone inquiries and follow up
- Maintain and update medical insurance database.
- Prepare materials for presentation to clinics and insurers e.g: appeals packages, updates for Insurance Guidebook and related materials.
Your qualifications:
- High School Diploma or GED
- Experience in medical insurance and medical device prior authorization (preferred)
- 3 years of reimbursement process experience
- Database (SAP, Oracle or JDE), MS Suite
- Strong ability to communicate well with: Medical Personnel, insurance representatives, customers and their families.
Job Types: Full-time, Contract, Temporary
Pay: $22.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
- Hybrid work
- Office
Education:
- High school or equivalent (Required)
Work Location: Hybrid remote in Woodland Hills, CA 91367
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