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Home Flexible Job Board Client Reimbursement Coordinator

Salary Unstated 26d ago

Client Reimbursement Coordinator

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Imagine360

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Summary

The Client Reimbursement Coordinator supports the advocacy team by managing intake communications, assigning referrals, and facilitating claims payments. They are also responsible for preparing reports, researching providers, and ensuring compliance with HIPAA regulations.

Job Description

Imagine360 is seeking a Client Reimbursement Coordinator to join the team! In the Client Reimbursement Coordinator role, you will be responsible for assisting the Client Reimbursement Advocacy team with various day-to-day tasks and responsibilities to support members and clients facing access-to-care barriers. This will include monitoring the main intake mailbox and phone line, assigning referrals, answering inquiries, facilitating claims payments, and any other related tasks and responsibilities dictated by the needs of the business.

Position Location: 100% remote

Responsibilities include but are not limited to:

  • Answer incoming phone calls and emails from internal and external partners and triage, as necessary, to the appropriate parties.
  • Create and distribute cases referred to the Client Reimbursement Advocacy team via email and phone call.
  • Prepare and send reports on ageing cases, closures, and team member statistics.
  • Coordinate with Providers, as well as Audit and Claims teams on the payment of claims.
  • Assist management with various tasks and assignments.
  • Research providers and obtain contact information to be used for negotiations.
  • Report any system issues.
  • Adhere to HIPAA guidelines and regulations.
  • Other related projects and duties as assigned.

Required Experience/Education:

  • High School Diploma or GED
  • 1+ administrative experience.

Preferred Experience/Education:

  • Bachelor's Degree
  • Healthcare and/or insurance company. Provider relations experience.

Skills and Abilities:

  • Must thrive in a fast-paced environment.
  • Adaptability to meet the dynamic needs of the industry.
  • Proficient in MS Outlook, Word, Excel, and PowerPoint.
  • Excellent written and verbal communication, administrative, and organizational skills.
  • Ability to establish priorities, meet deadlines, and work independently with limited supervision.
  • Demonstrate a commitment to building new skills and fostering a positive work environment.
  • Demonstrated commitment to high professional ethical standards

What can Imagine360 offer you?

  • Multiple Health plan options
  • Company paid employee premiums for disability and life insurance
  • Parental Leave Policy
  • 20 days PTO to start / 10 Paid Holidays
  • Tuition reimbursement
  • 401k Company contribution
  • Company paid Short & Long term Disability plus Life Insurance
  • Professional development initiatives / continuous learning opportunities
  • Opportunities to participate in and support the company's diversity and inclusion initiatives

Want to see our latest job opportunities? Follow us on LinkedIn

Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**

About the company

Imagine360

Imagine360 is an integrated health plan addressing one of the greatest challenges on behalf of self-funded employers: healthcare costs are harming the bottom line, they're increasingly unaffordable for employees, and the experience remains poor. We help businesses and their employees navigate through clutter and chaos and bring deep cost savings that protect everyone’s well-being and budgets. It’s way more than a health plan. It’s a promise.

We’ve helped hundreds of self-funded clients. Our solutions are ready to be implemented. The results are proven and impactful.

Imagine360’s innovative payment model includes preferential contracting with providers and health systems, and additional price protection through reference-based pricing, saving employers 15-30% on average compared to the national carriers.

With more than 17 years’ experience, and 25-million-months of member data, Imagine360 offers care coordination and medical management to proactively guide members through the complexities of healthcare. We bring employers a reimagined health plan solution, created to provide the flexibility, service and support employers need to take good care of employees, their families and business. We do this through:

- Assistance with plan design and expert administration with integrated third-party administration

- Built-in price protection from the #1 reference-based pricing solution in healthcare

- Provider contracts with Imagine Health’s top-rated providers and health systems

- Comprehensive member support throughout their healthcare journey

It’s more than a health plan. It’s our promise to deliver a better health plan experience.

Learn more at https://www.imagine360 today!

Founded

2003

Company size

1,001-5,000 employees

Industry

Insurance

Org type

Privately Held

Headquarters

Wayne, Pennsylvania

Apply Now

About the company

Imagine360

Imagine360 is an integrated health plan addressing one of the greatest challenges on behalf of self-funded employers: healthcare costs are harming the bottom line, they're increasingly unaffordable for employees, and the experience remains poor. We help businesses and their employees navigate through clutter and chaos and bring deep cost savings that protect everyone’s well-being and budgets. It’s way more than a health plan. It’s a promise.

We’ve helped hundreds of self-funded clients. Our solutions are ready to be implemented. The results are proven and impactful.

Imagine360’s innovative payment model includes preferential contracting with providers and health systems, and additional price protection through reference-based pricing, saving employers 15-30% on average compared to the national carriers.

With more than 17 years’ experience, and 25-million-months of member data, Imagine360 offers care coordination and medical management to proactively guide members through the complexities of healthcare. We bring employers a reimagined health plan solution, created to provide the flexibility, service and support employers need to take good care of employees, their families and business. We do this through:

- Assistance with plan design and expert administration with integrated third-party administration

- Built-in price protection from the #1 reference-based pricing solution in healthcare

- Provider contracts with Imagine Health’s top-rated providers and health systems

- Comprehensive member support throughout their healthcare journey

It’s more than a health plan. It’s our promise to deliver a better health plan experience.

Learn more at https://www.imagine360 today!

Founded

2003

Company size

1,001-5,000 employees

Industry

Insurance

Org type

Privately Held

Headquarters

Wayne, Pennsylvania

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