Medical Reimbursement Case Manager

Job Summary/Company:  Sparks Group has partnered with a leader in healthcare services that has an immediate need for an experienced Medical Reimbursement Case Manager for a 5–6-month contract. If you have 2+ years of direct industry experience, love interacting with customers and working in a fast-paced environment this may be the perfect opportunity for you. Apply today and call 703-620-6444!

Responsibilities:

• Manage complex billing, coding, insurance inquiries, and appeals.
• Coordinate with payers, care coordinators, and clients.
• Resolve denied or underpaid claims.
• Assess patient insurance coverage and eligibility.
• Reverify benefits and document activities
• Research payer medical policy and update requirements.
• Work from daily assigned reports to meet goals.
• Comply with quality monitoring and assurance tasks
• Take inbound/outbound patient calls to provide accurate, satisfactory responses to inquiries and support access to services while maintaining confidentiality. 
• Review and process documentation for patient support program eligibility.
• Additional tasks and duties as assigned

Qualifications/Background Profile:

 

• Bachelor's degree or equivalent experience.
• Minimum 4 years of recent healthcare experience (2 years direct industry preferred).
• High volume call center experience.
• Demonstrated proficiency in Microsoft Office applications.
• Exceptional customer service skills
• Advanced problem-solving, research, and analytical capabilities.
• Excellent written and verbal communication skills.
• Meticulous attention to detail and exceptional data entry accuracy.
• Proven ability to effectively manage multiple tasks and prioritize work independently.
• Must pass a criminal background screening 

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This job is Fully Remote.

Pay Range: Hourly $24.00 to $24.00

We offer several comprehensive benefits package including health and life insurance, paid and unpaid time off, and retirement and savings plans to qualifying employees.

Download the Sparks Group mobile app from Apple App Store or Google Play.

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Sparks Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, pregnancy, citizenship, family status, genetic information, disability, or protect veteran status.