Customer Reimbursement Coordinator

Accountabilities

• • Respond to customer questions regarding reimbursement policies, claim status, procedures, and requirements through phone, email, and other communication channels.
  • Provide clear, accurate, and empathetic guidance throughout the reimbursement and claims process.
  • Assist customers with completing and submitting reimbursement claims and ensure required documentation is accurate and complete.
  • Review and verify insurance benefits in accordance with applicable policies, procedures, and regulatory requirements.
  • Initiate and support prior authorization requests with payers on behalf of providers.
  • Provide support with appeals and denied authorization requests, helping customers and stakeholders understand available next steps.
  • Review claims documentation for accuracy, completeness, and compliance and help ensure timely processing.
  • Maintain detailed, organized, and up-to-date records of customer interactions and reimbursement activities.
  • Prepare reports on reimbursement activity, trends, quality, and other operational metrics as required.
  • Conduct quality checks to maintain high standards of customer service, documentation accuracy, and regulatory compliance.
  • Monitor changes to reimbursement policies and procedures and communicate relevant updates to customers and internal teams.
  • Collaborate with other departments to investigate and resolve complex reimbursement issues and identify opportunities for process improvement.
  • Support colleagues as needed and participate in ongoing training and professional development activities.

  Requirements

  • Associate’s degree in business, healthcare administration, or a related field, or equivalent professional experience; a bachelor’s degree is preferred.
  • At least 4 years of experience in customer service, healthcare reimbursement, insurance, billing, or a closely related field.
  • Strong understanding of healthcare reimbursement processes, insurance benefits, claims, and applicable regulations.
  • Experience with reimbursement management systems and customer support software.
  • Proficiency with standard office applications and digital tools.
  • Excellent verbal and written communication skills, with the ability to explain complex reimbursement information clearly to customers and stakeholders.
  • Strong interpersonal and customer service skills, with a professional and empathetic approach to handling sensitive issues.
  • Exceptional attention to detail and accuracy when reviewing benefits, claims, documentation, and customer records.
  • Strong organizational and time-management skills, with the ability to manage multiple cases and priorities effectively.
  • Ability to collaborate across departments and contribute to process improvements.
  • Healthcare reimbursement certification or a related professional certification is preferred.
  • Ability to work independently and maintain productivity in a fully remote environment.
  • Candidates must be authorized to work without employer sponsorship, as sponsorship is not currently provided.

  Benefits

  • Work arrangement: Fully remote within the United States.
  • Employment type: Full-time.
  • Opportunity to contribute to healthcare customer success and reimbursement operations.
  • Professional development and ongoing training opportunities.
  • Exposure to healthcare insurance, reimbursement, claims, and authorization processes.
  • Collaborative environment with opportunities to work cross-functionally.
  • Equal employment opportunity protections, including protections for veterans and individuals with disabilities.