Remote Reimbursement Navigator for Members

Imagine360; United States; A distancia; USD 42.000 - 64.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health plan options

Disability & life insurance (company‑p

Parental Leave Policy

PTO 20 days

Tuition reimbursement

401k Company contribution

Professional development

Descripción de la vacante

Imagine360 is seeking a Client Reimbursement Intake Specialist to educate providers and members on plan benefits and secure necessary care. The incumbent will work on the front line to educate providers and members on the full benefits of the health plan and helps to secure the care necessary to meet the needs of each case.

Remote position serving US clients and coordination with Advocates. You will also assist in member navigation and confirmation of benefits and member responsibility, with

Formación

• Bachelor's Degree required.
• 1+ years of healthcare, health insurance, or customer service experience.
• Experience with negotiations.
• Experience in billing, insurance, healthcare, or legal environments is a plus.

Responsabilidades

• Understand Imagine360, its clients and plans, and the Advocacy/Negotiation role therein.
• Initiate provider outreach to explain plan benefits and resolve cases before escalation.
• Educate members on plan benefits and how we work with plans to secure quality care.
• Research and confirm member benefits and responsibility as necessary.
• Review benchmark/Medicare rates for cases.
• Assist advocates and members to identify alternative provider options when needed.
• Ensure smooth handoff of cases to Advocates by tracking and documenting communications.
• Maintain open communication with key players and uphold guidelines to build trust and fair access to care.

Conocimientos

Excellent communication

CMS1500/UB04 knowledge

Microsoft Office proficiency

Negotiation experience

Educación

Bachelor's Degree

Descripción del empleo

Imagine360 is seeking a Client Reimbursement Intake Specialist to educate providers and members on plan benefits and secure necessary care. The incumbent will work on the front line to educate providers and members on the full benefits of the health plan and helps to secure the care necessary to meet the needs of each case.

Remote position serving US clients and coordination with Advocates. You will also assist in member navigation and confirmation of benefits and member responsibility, with