Reimbursement Authorization Specialist I (a)
We work directly on behalf of Ajinomoto Cambrooke Inc and do not charge any agency fees.
What this position has to offer:
- Central location in Ayer, MA, providing easy access to amenities 🏢🛍️
- Flexibility for limited remote work, promoting work-life balance 🌐⚖️
- Engaging work environment within a dynamic Revenue Cycle Team, fostering collaboration and growth opportunities 💼🌱
- Competitive compensation and comprehensive benefits package 💰🎁
- Meaningful impact on patients' lives by ensuring access to Cambrooke products 🩺🌟
Interested? Then book a call with us now! 📞
Job Summary
Are you looking for an exciting opportunity in the healthcare field? Do you want to make a meaningful impact on patients' lives? Then keep on reading! 💼🩺
As a recruiting partner of Ajinomoto Cambrooke Inc, we are looking for you as a Reimbursement Authorization Specialist I (a) (100%) at the location in Ayer, MA. In this position, you will play a vital role in ensuring patients have access to necessary medical foods and formulas through the referral process. 🌟
Look forward to a central location in Ayer, MA, with the flexibility for limited remote work. Enjoy stable core hours of operation from 8:30 am to 5:30 pm, competitive compensation, comprehensive benefits package, and the opportunity to work within a dynamic Revenue Cycle Team. 💼🌱
In addition, you will receive support and guidance to enhance your professional growth and development. 📈
We have sparked your interest? Then arrange an initial interview with us now! 📅
#Reimbursement #Authorization #Specialist #JoinTheTeam
What You Will Be Doing
- You ensure that Ajinomoto Cambrooke, Inc. (ACI) has the necessary documentation to initiate the referral process
- You contact healthcare professionals, state agencies, and payment partners (health insurance companies) for clinical documents, authorizations, benefits, prior authorization, individual contracts, agreements by letter, and other elements to ensure payment when needed (e.g., when authorization expires)
- You assist in uploading current documents and completing required fields in Sales Force
- You continue work and maintain such documents to keep effectiveness data current
- You ensure that all incoming requests are promptly processed and responded to, following the guidelines of the Revenue Cycle Department
- You provide support and guidance to patients and their families in processing authorizations, benefit verification, and prior authorization processes with payment partners
- You coordinate with other contracted companies for durable medical equipment and/or pharmacies to ensure that patients and their families can obtain the necessary formula and medical foods
- You deliver excellent customer service to resolve inquiries and issues in a timely, professional, and caring manner with compassion and commitment, ensuring that patients and their families receive optimal coverage so they can obtain Cambrooke products with minimal financial impact
- You prioritize the Pre-Order Tracker and cases that are "In Process" beyond 30 days
- You adhere to all company SOPs regarding quality and safety
- You undertake additional tasks as needed
What You Bring To The Job
- You have a minimum High School Diploma or equivalent
- You have several years of professional experience in medical billing, eligibility, authorization, and interaction with payers
- You understand HCPCs and ICD10 coding
- You have a working knowledge of commercial and state payers claim processing and procedures
- You demonstrate proficiency in Microsoft Office; Excel, Word, Teams, etc
- You are capable of multitasking, with attention to detail to ensure accuracy
- You exhibit strong written and oral communications skills required to provide excellent customer service and/or Revenue Cycle updates
- You show a demonstrated sense of compassion and drive to ensure patients and their families receive optimal coverage
- You are able to work independently with minimal direction, taking initiative within the scope of work responsibilities
- You possess knowledge of HIPAA and the ability to maintain confidential information security relative to all company’s proprietary information
- You can anticipate department needs, plan accordingly, and handle interruptions with ease
- You are capable of balancing business and relationship considerations
- You are a strong team player with the ability to initiate activity and promptly communicate & mentor others
- You possess great listening skills to work with team members, other colleagues, and outside customers & clinics
- You have a results and people-oriented mindset
- You can prioritize the Pre-Order Tracker and Cases that are "In Process" beyond 30 days
- You are familiar with medical records compliance under HIPAA rules and regulations
- You adhere to all company SOPs with regards to quality and safety
- english: C1 – Advanced
Nice-to-Haves
- You have a college degree
- You have previous experience with SalesForce or Nexternal
Team
- Reports to: Revenue Cycle Director
- Colleagues: 4
- Team Language: English
Benefits
Contribution to health insurance
Wellness and mental health benefits
Employee stock option plan
Employee life insurance
Discounts to selected external services (dry cleaning, technology, etc.)
Remote work possible
Work From Home (WFH) possible
Expense reimbursement (milage, rentals, etc.)
Laptop, Tablet, Company Cell Phone
3 Weeks Paid Time Off
Short and Long Term Disability coverage
Fitness reimbursement
Profit sharing opportunities
About Ajinomoto Cambrooke Inc
Ajinomoto Cambrooke, Inc. formerly Cambrooke Therapeutics, Inc. (expansion of Cambrooke Foods) was founded in 2000 by Lynn and David Paolella, the parents of two children diagnosed with a rare disease called phenylketonuria (PKU). PKU is one of the few genetic diseases, which is managed almost entirely with nutritional intervention. The Paolellas’ goal in forming Cambrooke was simple - to develop improved nutritional therapeutic options for those with serious medical disorders.
Today, Cambrooke produces medical formulas and foods for the management of a variety of medical conditions and we are continually innovating new nutritional options targeted at a wide array of diseases.
- Industry: Food & Beverages
- Founded: 2000
Next Steps
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