[Hiring] Customer Reimbursement Coordinator @Sight Sciences

Role Description

The Customer Reimbursement Coordinator is responsible for providing direct assistance to customers with their reimbursement inquiries and claims. This role involves:

• Verifying insurance benefits
• Assisting with claims processing
• Initiating prior authorizations with payers on behalf of providers
• Answering customer queries
• Ensuring compliance with reimbursement policies and regulations

The ideal candidate will have strong communication skills, a detail-oriented mindset, and experience in customer service or healthcare reimbursement.

Qualifications

• Associate’s degree in business, healthcare administration, or a related field or equivalent work experience is required; a bachelor’s degree is preferred
• Minimum of 4 years of experience in customer service, healthcare reimbursement, or a related field
• Strong understanding of reimbursement processes and regulations
• Excellent communication and interpersonal skills
• High level of attention to detail and accuracy
• Proficiency in using customer support software and office applications
• Experience with reimbursement management systems and software
• Knowledge of healthcare insurance and billing processes
• Certification in healthcare reimbursement or a related field

Requirements

• Respond to customer inquiries regarding reimbursement policies, claims status, and procedures via phone, email, and other communication channels
• Provide clear and accurate information to customers about the reimbursement process
• Provide appeal and denial support for negative outcome authorization requests
• Assist customers in completing and submitting reimbursement claims
• Review and verify benefits in accordance with company policies and regulatory requirements
• Verify the accuracy and completeness of claim documentation
• Ensure timely and efficient assistance with the processing of claims to meet customer needs and company standards
• Maintain detailed and organized records of customer interactions and claims processing
• Ensure all documentation is accurate, up-to-date, and compliant with relevant regulations
• Prepare and submit reports on reimbursement activities and trends as required
• Adhere to all relevant regulations, policies, and procedures related to reimbursement
• Conduct regular quality checks to ensure high standards of service and compliance
• Stay informed about changes in reimbursement policies and procedures and update customers and internal teams accordingly
• Work closely with other departments to resolve complex reimbursement issues and improve processes
• Provide support and assistance to team members as needed
• Participate in training and development activities to enhance knowledge and skills

Benefits

• * Please note, we do not provide sponsorship at this time.
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