Reimbursement Specialist

A decco is currently assisting a client in their search to fill a Reimbursement Specialist located in the Boca Raton area, FL! If you would like to pursue a great opportunity, then Apply Now if you meet the qualifications listed below.

Provide outstanding, energetic, and empathetic customer service in a patient-centric high-volume call center.
Perform associated tasks with physicians and insurance offices inclusive of data entry, phone coverage, and associated clerical tasks.

Key Job Responsibilities: (Duties may include, but not limited to all or some of the following)
Handle patient enrollment and follow-up case management
Submit patient applications for approval, denial or rejection
Validate licensed practitioners
Perform insurance company out reach
Resolve HCP inquires
Order issue resolution
Case status tracking and updating
Attain or exceed program key performance indicators and quality standards
Perform special assignments as needed

Education/Experience Required:

High School Diploma or GED
Strong Customer Service Experience/Skillset
Strong verbal and written communication and listening skills·
Ability to perform in high-pressure and fast-paced environment and handle multiple tasks simultaneously
Demonstrated proficiency in Microsoft Office Suite including Word, Excel and Outlook
Strong Analytical Skills
Ability to collaborate and work within a team environment·
Previous experience with prior authorizations is desirable
Proficiency with drug names, dosage forms and strengths is desirable

Preferred (At least one of the below required for Specialty Program):
Associates or Bachelors Degree
Pharmacy Technician Certification
Registered Nurse
Medical Assistant Certification· Clinical Experience
Medical Coding/Billing Certification

***Applicants must be currently authorized to work in the United States on a full-time basis. We’re unable sponsor applicants with the following work visas: H1B, H2B, E3, TN1***

How to Apply: Click on “Apply Now” to be considered for this position or any other opportunities with Adecco.

Once candidates have applied, resumes will be screened for review. I will reach out to you if are chosen for the next step in the application process.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled


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