Healthcare Reimbursement Strategist

Connext

Pasig

Hybrid

PHP 2,642,000 - 4,088,000

Full time

9 days ago

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Benefits offered by this job

Competitive compensation

Perfect Attendance Bonus

Life insurance

HMO Insurance

Great company culture

Annual Merit Increase

25% Night Differential

Job summary

Connext Global Solutions in the Philippines is seeking a Reimbursement Specialist to support a United States client. You will research, analyze, and negotiate pre- and post-payment proposals to maximize reimbursement outcomes and ensure accurate claims processing.

Ideal candidates have at least two years in payment/reimbursement negotiation, strong English communication, and solid analytical skills. You will handle follow-ups via calls and emails, and escalate complex cases to the onshore

Qualifications

Strong analytical skills with ability to identify discrepancies and determine solutions.
Time management skills and ability to handle multiple claims.
Clear and coherent written and verbal communication in English.

Responsibilities

Research and negotiate pre- and post-payment proposals on a daily basis.
Analyze claims, reimbursement rates, and supporting information to determine negotiation positions.
Review proposed negotiations and identify opportunities to maximize reimbursement outcomes.
Make outbound calls to follow up on negotiation proposals and ensure responses are reviewed.
Handle negotiation-related follow-ups through phone calls, emails, and other communication channels.