Dallas, TX
Reimbursement Specialist
Location Remote – Must reside in TX, FL, KY, GA, TN, AZ, NC, SC, or IN
Compensation & Schedule
Pay $18-20/hr
• Full-time, Monday–Friday starting beginning of November
• W2 Employment
ROLE IMPACT
The Reimbursement Specialist supports patients, providers, and internal teams by ensuring insurance benefits are accurately verified, prior authorizations are obtained, and reimbursement processes run smoothly. Success in this role ensures timely patient access to care, accurate provider payments, and effective resolution of reimbursement issues.
KEY RESPONSIBILITIES
• Conduct insurance benefit investigations, verify eligibility, and document results in the designated tracking system.
• Facilitate and track prior authorization requests, ensuring complete and accurate documentation.
• Communicate with physician offices, payors, and internal teams to resolve reimbursement-related inquiries.
• Maintain accurate and timely records of all payer, provider, and patient interactions.
• Identify and report reimbursement delays or trends to leadership.
MINIMUM QUALIFICATIONS
• 2+ years of experience in medical reimbursement, benefits investigation, or prior authorization processing.
• Strong knowledge of healthcare insurance processes, including third-party payor requirements.
• Excellent communication and customer service skills for both provider and patient interaction.
• Proficiency in data entry and use of healthcare systems.
CORE TOOLS & SYSTEMS
• Microsoft Office Suite (Word, Excel, Outlook)
• Electronic health record (EHR) systems
• Payer portals
• Call center phone systems
PREFERRED SKILLS
• Experience with specialty pharmacy reimbursement.
• Familiarity with NPI and referral processes.
• Ability to work with minimal supervision in a fast-paced environment.
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