Reimbursement Representative

Lexington, MA

Posted: 11/26/20 Employment Type: Permanent Industry: Job Number: 106949 Pay Rate: $17.00 - $23.00

Job Description


Minimum 1 year healthcare experience

 

Specialty pharma company is looking to hire reimbursement representatives at their Corporate office located in Lexington, MA. The Reimbursement Representative position will be focused on Payment Integrity and Refunds.

 

Requirements of the Reimbursement Rep

• Prior experience as an insurance analyst, account analyst, insurance rep

• Candidate must be a self-starter and motivated to research and resolve issues

• Ability to work independently with minimal supervision and prioritize to meet deadlines, as well as the ability to work in a collaborative manner

• Excellent communication skills and the highest personal integrity will be required

• Proven solution-oriented attitude

• Proficiency in Microsoft Word and Excel

 

Responsibilities of the Reimbursement Rep

• Manage, verify and maintain A/R Credit Balance Aging

• Validate credit balance invoices are overpayments or contractual revenue adjustments

• Manages correspondence related to Refund/Overpayment Request, validates request for accuracy and responded timely to the payer

• Identifies any payer trends and works proactively with the management team to address internally or externally

• Ensures appropriate overpayment payer requirement are followed, including all imperative documentation for refund validation

 

Benefits:

• Competitive compensation package

• Paid time off (PTO)

• Health/Dental/Vision/LTD/STD/Life insurance

• Matching 401(k)

 

Job Requirements

 

Additional Information

Quick Facts:

• Family-owned/operated and servicing MA since 1989

• In 2019, ACE Employment was on the Forbes List of America's best recruitment firms out of 250 nationwide.

• Consistently on the Largest Temp Placement Firms in MA list conducted by the Boston Business Journal.

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