Clinical Reimbursement Specialist
$30,000–$65,000 year
On-site · Tinton Falls, New Jersey, United States
Job Summary
Responsible for obtaining and verifying insurance coverage, securing required authorizations, and reporting third‐party reimbursement information to ensure accurate coverage and timely payment. Supports organization’s mission by striving for excellence in all aspects of the job with a focus on positive interpersonal relationships. Assures accurate and timely verification of reimbursement information to ensure coverage of insurance; obtain authorizations in a timely manner when required by payer; perform payer coverage duties as assigned; assist in designing and maintaining a manual of insurance resource information in collaboration with the Manager of Clinical Reimbursement; establish and maintain positive working relationships with external and internal groups; monitor quality and appropriateness of services and processes; adhere to company policies regarding absenteeism and appearance. Working conditions involve an indoor business office environment with phone and computer use.
Required Qualifications
- High School Diploma/GED required; Associates degree preferred
- Must have prior experience working with managed care and workman’s compensation carriers
- Knowledge of third party reimbursement required
- Strong computer skills
- Excellent written and verbal communication skills
- Excellent interpersonal and organizational skills
Apply with one swipe on Sorce. We auto-fill applications and apply on your behalf — no cover letters, no 40-minute forms.
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.