Remibursement Case Manager

  • Location
    Scottsdale, Arizona
  • Job type
    Contract/Temp to Hire
  • Salary
    $ 17 - $ 20 / Hour
  • Category
    Call Center & Customer Service - Customer Service

Adecco is currently assisting a local client in their search to fill a Reimbursement Case Manager in Scottsdale, AZ  This is a temp to hire opportunity. You will be responsible for fast paced, high-volume contact center environment with a variety of product support programs managing complex reimbursement issues. Apply Now if you meet the qualifications listed below!

 

Responsibilities for this Reimbursement Case Manager position include:

 

  1. Work with healthcare providers and patients to assist with appeal management for claim denials.
  2. Work with physicians and payers to advocate for product specific coverage.
  3. Ability to communicate product benefits and efficacy to positively influence payer policy.
  4. Capability to monitor drug coverage policies for multiple payers.
  5. Review case outcomes to analyze and identify payment and denial trends as well as key findings for client reporting.
  6. Conduct external research to identify appropriate alternate funding sources for inclusion to the internal resource database for future reference purposes.
  7. Ability to effectively respond to escalated issues and complex cases referred from other Reimbursement employees or manufacturer representatives.                                       

 

Qualifications:

 

2+ years customer service experience, 2+ years medical or insurance industry experience

Critical Skills

  •  5 years experience in the healthcare industry including, but not limited to, Medicare and/or Medicaid program administration, insurance verification and/or claim adjudication, physician’s office or outpatient billing, pharmacy and/or pharmaceutical manufacturers
  • Must be able to analyze reimbursement specific data and prepare written reports for management and client communications.

Additional Knowledge & Skills

  • Excellent communication and organizational skills
  • Strong problem solving and decision making skills
  • Ability to effectively handle multiple priorities within a changing environment
  • Strong Interpersonal skills
  • Strong oral and written communication skills
  • Computer literacy
  • ICD-9, HCPCS, CPT experience                    

 Pay is $17.00 -$20.00/hr DOE.

 

Work location is off of Loop 101/Chaparral

 

Adecco provides one of the most comprehensive benefits packages in the industry to contract workers.

Click on Apply Now to be considered for this Reimbursement Case Manager position in Scottsdale, AZ or you can visit our website www.adeccousa.com to search for other opportunities that are currently available.

 

 

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

 



  • Apply with Adecco

Reference number US_EN_99_020749_11890675