Gaithersburg, Maryland
Medical Billing Specialist with reimbursement exp Job Opening in Gaithersburg, Maryland - There are 8 positions..
Must be local and should be able to go for face to face interview
Must have at least associate Degree
***MUST HAVE patient reimbursement exp
Skills: Medical Insurance specialist/ Patient access intake or Doctor's Assistant
Location: Gaithersburg MD
Duration: 9 months+ Contract position
Rate: $20 to 22/hr on w2
1 year of Customer Service experience (Environments Like: Call center, Doctor's Office, Medical Billing Office, etc.)
Excellent communication skills (verbal/written) Basic Word and Excel
Ideal Candidate Profile:
Customer Service - 1 to 3 years (Environments Like: Call center, Doctor's Office, Medical Billing Office)
Reimbursement experience in environment - 1-3 years
*
his position will be responsible for addressing all cases including complex reimbursement issues, providing education and information relating to the utilization of available resources to support appropriate patient access to AstraZeneca therapies, including working patient cases that come through AstraZeneca Access 360? program. This role will focus on identification of access issues and excellent and responsive support providing information and resources to address reimbursement access barriers and maintaining strong internal and external communications. Key Roles/ Responsibilities:
Manage day to day activities of health care provider support requests and deliverables across multiple communication channels i.e. Phone, Fax, Chat, eMail, etc.
Perform intake of cases and capture all relevant information in the Access 360 Case Management system
Ensure all support requested is captured within the Case Management system
Ensure timely processing and resolution of cases
Escalate cases appropriately to the Patient Access Associate team
Coordinate all appropriate aspects of patient case management through to completion, using effective interpersonal skills to manage interactions
Serve as a resource for Health Care Providers and patients and use regional reimbursement, distribution and payer policy expertise to provide solutions for complex patient access situations, working closely with the PAA team to appropriately escalate/resolve issues
Communicate effectively with payers, third party administrators and other departments Perform in-depth research into patient?s insurance, prior authorization and appeal requests on behalf of the provider
Educate offices on Access 360 programs and referral process to ensure timely case processing
Minimum Requirements:
Associates Degree or equivalent education in health sciences, managed healthcare, public policy, social work or related disciplines
Minimum 2 years of reimbursement experience; high level of proficiency in all aspects of reimbursement and access, i.e., benefit investigations, specialty pharmacy distribution, private and public payer reimbursement policies and procedures, regulatory and administrative rules
Coordination of patient access experience
Expert knowledge of specialty products, reimbursement for medical and pharmacy benefits, patient access processes and patient assistance programs: operational policies and processes
Experience with HIPAA policy, patient access data and analytics
Preferred:
Billing/ Coding background in buy and bill and Specialty Pharmacy markets
Proficient competency using Word, Excel and PowerPoint
Thanks
Veera Gupte
Sr. Technical Recruiter
Fortira
(Direct work)
Job Type: Contract
Required education:
Associate
Required experience:
Patient reimburement: 2 years
MS Excel / MS Word: 5 years
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