Job Description - Reimbursement Escalation Specialist in Durham
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Reimbursement Escalation Specialist

Ref: US_EN_6_914766_1424232

Posted on 03 January 2022
Job Location
Durham, North Carolina
Contract Type
Direct Hire
Category
Administrative / Clerical

Modis is seeking for a Reimbursement Escalation Specialist for a direct hire opening in Durham, NC. As the Reimbursement Escalation Specialist, you will work closely with team members to ensure patient insurance orders are processed timely and accurately. The Reimbursement Escalation Specialist is responsible for handling escalation calls, emails or other communications from internal and external customers. The RES will receive and and resolve Reimbursement customer complaints and claim related issues that have been escalated due to denials or other non-payment incidents. Email, mail correspondence, and inbound/outbound phone calls.

The Job Responsibilities for the Reimbursement Escalation Specialist in Durham, NC include:

  • Responsible for supporting the internal Reimbursement team, and Customer Accounts, in

    providing liaison support on processes and procedures as well as customer escalations

  • Duties include processing escalated orders to completion, providing support for Reimbursement

    Team Members, other related departments, taking supervisor calls and all other patient /

    customer escalations

  • Responsible for researching and resolving service issues related to Reimbursement
  • Process urgent orders to completion
  • Handle complex claim processing issues
  • Review calls or emails and respond to complaints about Reimbursement
  • Complete weekly reporting and provide feedback to supervisor
  • Qualifications:

  • Experience with medical authorization , pre-approval and verification of insurance benefits

    process

  • Coding/Billing software and related reimbursement platforms
  • Strong written and verbal communication skills
  • Ability to multi-task and prioritize actions for timely resolutions
  • Positive attitude, self-motivated and collaborative professional team spirit a must!
  • Proficient with Excel, Word, Outlook
  • High School diploma required, GED, or equivalent education
  • Minimum of 1 year in a healthcare insurance or reimbursement role
  • Experience in a professional contact center role/environment
  • If you are interested in this Reimbursement Escalation Specialist in Durham, NC, then please apply today or send your resume directly to tal.shavit@modis.com

    For other opportunities available at Modis IT & Engineering go to www.modis.com.

    Equal Opportunity Employer Minorities/Women/Veterans/Disabled

    To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit https://www.modis.com/en-us/candidate-privacy/

    The Company will consider qualified applicants with arrest and conviction records

    Equal Opportunity Employer/Veterans/Disabled

    To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.modis.com/en-us/candidate-privacy

    The Company will consider qualified applicants with arrest and conviction records

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