Customer Reimbursement Coordinator

Sight Sciences, Inc.; United States; On-site; USD 60,000 - 82,000; Full time

Job summary

Sight Sciences, Inc. is seeking a Customer Reimbursement Coordinator to assist customers with reimbursement inquiries, verify benefits, and support claims processing. The role requires strong communication, meticulous record-keeping, and knowledge of healthcare reimbursement regulations.

You will work with providers and internal teams to resolve issues, initiate prior authorizations, and ensure timely submission of claims while maintaining compliance.

Qualifications

• Associate's degree or equivalent work experience required.
• Minimum 4 years of experience in customer service or healthcare reimbursement.
• Strong understanding of reimbursement processes and regulations.
• Excellent communication and interpersonal skills.
• High attention to detail and accuracy.
• Proficiency with customer support software and office applications.
• Experience with reimbursement management systems and healthcare billing processes.
• Healthcare reimbursement certification preferred.
• No sponsorship provided at this time.

Responsibilities

• Respond to inquiries regarding reimbursement policies, claims status, and procedures via phone, email, and other channels.
• Provide clear and accurate information about the reimbursement process.
• Provide appeal and denial support for authorization requests.
• Assist customers in completing and submitting reimbursement claims.
• Verify benefits in line with company policies and regulations.
• Verify the accuracy and completeness of claim documentation.
• Ensure timely processing of claims to meet customer and company standards.
• Maintain detailed records of interactions and claims.
• Ensure documentation is compliant with regulations.
• Prepare and submit reports on reimbursement activities and trends.
• Stay informed about changes in reimbursement policies and update teams accordingly.
• Collaborate with other departments to resolve complex issues and improve processes.
• Participate in training and development to enhance knowledge and skills.

Skills

Customer service

Communication

Attention to detail

Healthcare reimbursement knowledge

Regulatory compliance

Education

Associate's degree in business or healthcare administration

Bachelor's degree preferred

Tools

Customer support software

Office applications

Reimbursement management systems

Job description

Overview

The Customer Reimbursement Coordinator is responsible for providing direct assistance to customers with their reimbursement inquiries and claims. This role involves verifying insurance benefits, assisting with claims processing, initiating prior authorizations with payers on behalf of providers, answering customer queries, and ensuring compliance with reimbursement policies and regulations. The ideal candidate will have strong communication skills, a detail-oriented mindset, and experience in customer service or healthcare reimbursement.

Responsibilities

• Respond to customer inquiries regarding reimbursement policies, claims status, and procedures via phone, email, and other communication channels
• Provide clear and accurate information to customers about the reimbursement process
• Provide appeal and denial support for negative outcome authorization requests
• Assist customers in completing and submitting reimbursement claims
• Review and verify benefits in accordance with company policies and regulatory requirements
• Verify the accuracy and completeness of claim documentation
• Ensure timely and efficient assistance with the processing of claims to meet customer needs and company standards
• Maintain detailed and organized records of customer interactions and claims processing
• Ensure all documentation is accurate, up-to-date, and compliant with relevant regulations
• Prepare and submit reports on reimbursement activities and trends as required
• Adhere to all relevant regulations, policies, and procedures related to reimbursement
• Conduct regular quality checks to ensure high standards of service and compliance
• Stay informed about changes in reimbursement policies and procedures and update customers and internal teams accordingly
• Work closely with other departments to resolve complex reimbursement issues and improve processes
• Provide support and assistance to team members as needed
• Participate in training and development activities to enhance knowledge and skills

Skills/Qualifications

• Associate's degree in business, healthcare administration, or a related field or equivalent work experience is required, a bachelor's degree is preferred
• Minimum of 4 years of experience in customer service, healthcare reimbursement, or a related field
• Strong understanding of reimbursement processes and regulations
• Excellent communication and interpersonal skills
• High level of attention to detail and accuracy
• Proficiency in using customer support software and office applications
• Experience with reimbursement management systems and software
• Knowledge of healthcare insurance and billing processes
• Certification in healthcare reimbursement or a related field
• Please note, we do not provide sponsorship at this time.