Job Description - Reimbursement Specialist in Durham
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Reimbursement Specialist

Ref: US_EN_6_914766_1395678

Posted on 22 December 2021
Job Location
Durham, North Carolina
Contract Type
Direct Hire
Category
Administrative / Clerical

Modis is hiring for a Reimbursement Specialist in Durham, NC. In this opportunity , you will be providing direct support for customers, patients and medical professionals relating to insurance authorizations and eligibility as well as provide day to day administrative functions.  

*** There is a 90-day training period that will be conducted onsite. After training, will be working remotely on a  weekly rotation. This is a direct hire opening with regular work hours (Monday to Friday, 8am-5pm or 9am-6pm)

The Responsibilities of a Reimbursement Specialist in Durham, NC include:

  • Provide direct support to patients and/or customers regarding authorization and insurance coverage for company related products
  • Answer calls from physician offices, hospitals, and patients using exemplary customer service skills
  • Follow established procedures for submitting authorization and/or verification of eligibility for all requested items, as well as determine member benefit coverage for requested items
  • Call patients and/or providers back with information regarding authorization and any funds due
  • Responsible to assist accounts receivable staff in researching unpaid claims related to eligibility, prior authorization and other verification related denials
  • Perform day to day administrative functions and general office duties related to the reimbursement department
  • Practice confidentiality and privacy protocols in accordance with company policies and HIPAA requirements
  • MINIMUM KNOWLEDGE, SKILLS and ABILITIES REQUIRED:

    Required Skills:

  • Experience with CPT, HCPCS, ICD coding
  • Coding/Billing software and related reimbursement platforms
  • Strong written and verbal communication skills
  • Positive attitude, self-motivated and collaborative professional team spirit a must!
  • Proficient with Excel, Word, Outlook
  • Position Qualifications:

     

  • High School diploma required, GED, or equivalent education
  • Minimum of 1 year in a healthcare insurance or reimbursement role
  • Experience in a contact center role/environment
  • If you are interested in this Reimbursement Specialist job in Durham, NC, then please apply today or please reach out to Tal directly at tal.shavit@modis.com

    Equal Opportunity Employer Minorities/Women/Veterans/Disabled

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

    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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