[Remote] Reimbursement Analyst

Note: The job is a remote job and is open to candidates in USA. Gifthealth is revolutionizing healthcare by simplifying the management of prescriptions and health services. The Reimbursement Analyst will assist patients and healthcare providers in navigating reimbursement processes, including billing, benefit investigations, and prior authorizations.ResponsibilitiesAssist patients and healthcare providers with moderate to complex billing and coding, insurance benefit investigations, prior authorization, appeals and patient assistance support programs inquiriesMay include acting as regional contact for senior level client contactsManage patient cases and interact with external contacts like payers and other stakeholdersAssist with coordination of relevant tasks/activities between Gifthealth and the clientReview and resolve denied or underpaid insurance claimsIdentify and assess patient specific insurance coverage options for client specific productsReverify patient benefits at predetermined time framesDocument all activities in program database within required timelinesResearch payer medical policyMonitor and update payer prior authorization requirements and coverage policies for specified client programPrepare and/or assist with preparation of reports as requested, including adverse event and product complaint reportsReview and process documentation to determine patient specific eligibility for client patient support program(s), as appropriateComplete quality monitoring and quality assurance activities, as assignedTravel to and attend client meetings, off-site training, and/or conferences. Travel time estimate: 5%SkillsMinimum four years recent healthcare experience (2 years' direct industry preferred)Exhibit proficiency in Microsoft Office productsExcellent customer service skills (call center experience preferred)Advanced problem solving, research and analytical skillsAdvanced communication skills, both written and verbalAttention to detail, data entry accuracy requiredAbility to multi-task and manage time independentlyAdvanced knowledge of medical insurance (public and commercial), billing and coding and associated terminology2 years' direct industry experienceCall center experienceClient interaction experienceCompany OverviewGiftHealth is a healthcare tech startup that streamlines pharmacy experience with free delivery and competitive medication pricing. It was founded in 2020, and is headquartered in Columbus, Ohio, USA, with a workforce of 501-1000 employees. Its website is https://www.gifthealth.com.