We are looking for an experienced Reimbursement Analyst to complete activities of biopharma, clinical or medical technology reimbursement hub or other programs/projects. Includes receiving, data entering and filing program enrollments, applications, and other requests.
| TITLE: | Intake Coordinator |
| CATEGORY: | Customer Support – Program/Project Support |
| TYPE: | Non-Exempt, Hourly, Full or Part Time |
| JOB NATURE: | Office based desk position, Heavy phone and computer usage, minimal lifting |
| JOB SUMMARY: | Completing activities of biopharma, clinical or medical technology reimbursement hub or other programs/projects. Includes receiving, data entering and filing program enrollments, applications, and other requests. Coordinating prescription data, enrollment data/missing information requests, distribution information, follow ups, and communications for programs/projects. May prepare reports, data, track shipments, data, place telephone calls or push out communications (fax, email, text, etc.). Researching and analyzing basic to moderate third-party payer health reimbursement policies and products. May include interaction with client contacts and handling of escalated cases/issues. |
| JOB DUTIES: | (May include the below, or other duties as assigned): Data enter program information, including but not limited to enrollments, missing information, prescription information, refills, adherence, or other data • Prepare, set up and implement mail merges and fax blasts; send out correspondences • Review and process documentation to determine patient specific eligibility for client programs, including but not limited to patient assistance program(s), as appropriate. • Assist callers/clients with basic to moderate program inquiries; document calls, review calls for specific content. • Assist with program documentation, letter completion and sending, draft/write processes/steps to be included in SOPs, business rules, other program documentation • Interacting with vendors, consumers, healthcare providers, payers, and client sales or field teams. • Identify and assess payer general and patient specific insurance coverage options for client specific products as found on the web. • Prepare spreadsheets of data and information • Document all activities in program database within required timelines. • Prepare and/or assist with preparation of reports, as requested. • Complete all work in accordance with program SOPs, work instructions, trainings, guidelines, or other directives, written or verbal, within the standards or metrics of the program quality assurance requirements and company annual objectives. |
| TRAINING, EDUCATION, EXPERIENCE: | • Must be 18 years old or older. • Bachelor’s degree or relevant, equivalent experience. • Minimum two years recent healthcare experience (2+ years’ direct industry preferred). • Moderate knowledge of health insurance (public and commercial), billing and associated terminology. • Exhibit proficiency in Microsoft Office products. • Excellent customer service skills (call center experience preferred). • Advanced problem solving, research and analytical skills. • Excellent communication skills, both written and verbal. • Data entry accuracy required. • Ability to multi-task and manage time independently. |
| JOB RELATIONSHIPS: | Works with varying levels of staff and in direct client and consumer contact. |
| TIME COMMITMENT: | Monday through Friday Minimum 40 work hours Full Time, Maximum 30 work hours Part Time. |
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