Customer Reimbursement Coordinator

Accountabilities Respond to customer questions regarding reimbursement policies, claim status, procedures, and requirements through phone, email, and other communication channels.

Provide clear, accurate, and empathetic guidance throughout the reimbursement and claims process.

Assist customers with completing and submitting reimbursement claims and ensure required documentation is accurate and complete.

Review and verify insurance benefits in accordance with applicable policies, procedures, and regulatory requirements.

Initiate and support prior authorization requests with payers on behalf of providers.

Provide support with appeals and denied authorization requests, helping customers and stakeholders understand available next steps.

Review claims documentation for accuracy, completeness, and compliance and help ensure timely processing.

Maintain detailed, organized, and up-to-date records of customer interactions and reimbursement activities.

Prepare reports on reimbursement activity, trends, quality, and other operational metrics as required.

Conduct quality checks to maintain high standards of customer service, documentation accuracy, and regulatory compliance.

Monitor changes to reimbursement policies and procedures and communicate relevant updates to customers and internal teams.

Collaborate with other departments to investigate and resolve complex reimbursement issues and identify opportunities for process improvement.

Support colleagues as needed and participate in ongoing training and professional development activities.

Requirements

Associate’s degree in business, healthcare administration, or a related field, or equivalent professional experience; a bachelor’s degree is preferred.

At least 4 years of experience in customer service, healthcare reimbursement, insurance, billing, or a closely related field.

Strong understanding of healthcare reimbursement processes, insurance benefits, claims, and applicable regulations.

Experience with reimbursement management systems and customer support software.

Proficiency with standard office applications and digital tools.

Excellent verbal and written communication skills, with the ability to explain complex reimbursement information clearly to customers and stakeholders.

Strong interpersonal and customer service skills, with a professional and empathetic approach to handling sensitive issues.

Exceptional attention to detail and accuracy when reviewing benefits, claims, documentation, and customer records.

Strong organizational and time-management skills, with the ability to manage multiple cases and priorities effectively.

Ability to collaborate across departments and contribute to process improvements.

Healthcare reimbursement certification or a related professional certification is preferred.

Ability to work independently and maintain productivity in a fully remote environment.

Candidates must be authorized to work without employer sponsorship, as sponsorship is not currently provided.

Benefits

Work arrangement: Fully remote within the United States.

Employment type: Full-time.

Opportunity to contribute to healthcare customer success and reimbursement operations.

Professional development and ongoing training opportunities.

Exposure to healthcare insurance, reimbursement, claims, and authorization processes.

Collaborative environment with opportunities to work cross-functionally.

Equal employment opportunity protections, including protections for veterans and individuals with disabilities.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether? 

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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