Sparks Group has partnered with a leader in healthcare services that has an immediate need for experienced Medical Reimbursement Case Managers 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

Sparks Group

Medical Reimbursement

About the Job