Reimbursement Administrator

inVentiv Health is an insights-driven global health care leader that provides dynamic solutions to deliver customer and patient success. inVentiv delivers its customized clinical, sales, marketing and communication solutions through its four core business segments; inVentiv Clinical, inVentiv Communications, inVentiv Commercial, inVentiv Patient Outcomes. Inventiv Health's client roster is comprised of 325 leading pharmaceutical, biotech, life sciences and health care companies, including all top 20 pharmaceutical global manufacturers. We are seeking 10 Reimbursement Administrative professionals, a client services representative role, for a long term contract position with a phenomenal organization. These positions do have a likelihood of turning into a direct-hire.

 

Job Summary:  Provide complex Reimbursement Service activities in a high call volume call center environment. Perform reimbursement investigations, data entry, and multiple tasks within specific PAP department.

 

Key Job Responsibilities:

(Duties may include, but not limited to all or some of the following)

 

·  Handle inbound/outbound reimbursement and PAP calls

·  Perform extensive reimbursement counseling, including:

  Private and government insurance investigation

  Advocacy counseling

  Research alternative payment options (third party payers)

  Insurance and medical coding (ICD9, J coding)

·  Assist with forms acquisition and completion

·  Assist team in assuring phone and order entry coverage

·  Print,  mail and/or fax program correspondence

·  Validate licensed practitioners

·  Review applications

·  Data enter applications for approval, denial or rejection

·  Meet department data entry standards

·  Assist in the measurement of performance against standards

·  Meet department customer service, call and data entry standards

·  Troubleshoot internal process, PAP caller, and customer issues

·  Administer cost share program, if applicable

 

Job Qualifications:

 Education

Required: High school degree or equivalent required

2 - 3 years in customer service, pharmaceutical, medical, insurance, call center, or related similar field

Preferred: 1+ year in Patient Services

   Strong knowledge of customer service operations

Strong knowledge of government and private insuranceSkills

 Required: Customer focused

  Fast and accurate data entry

  Clear, pleasant speaking voice

  Excellent communication skills (oral and written)

 Ability to handle high call volume

 Ability to handle multiple tasks and troubleshoot issues

 Ability to work with little or no supervision

  Team player/consensus builder

 Ability to interact with a diverse group

  Project management skills

 

Please e-mail your Resume to Sstjohn2@inventivhealth.com as an attachment in MS Word

Contact Sverre St. John 732-537-5081 to discuss your potential with inVentiv Health, Inc.  Apply now~!