7 часов назад
Reimbursement Specialist (12Months Contract) (Medtech)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Reimbursement Specialist (12Months Contract) (Medtech): Processing insurance eligibility, reimbursement, prior authorizations, customer orders, and product shipments for a diabetes medical-device platform with an accent on healthcare customer support, managed-care requirements, and claims documentation. Focus on resolving reimbursement issues, coordinating with insurers and commercial teams, maintaining HIPAA compliance, and improving customer-care workflows.
Location: Sydney, NSW, Australia
Company
develops the Omnipod wearable, waterproof insulin-delivery product platform to support people living with diabetes.
What you will do
- Process customer orders by verifying insurance benefits, eligibility, cost-sharing amounts, and reimbursement requirements.
- Submit prior authorization requests, contact payors, collect updated documentation, and coordinate product shipments.
- Answer customer inquiries about orders, reimbursement, shipping, warranties, and basic product operation.
- Resolve escalated customer-care and reimbursement issues while collaborating with Case Management, Sales, and Billing.
- Document customer interactions in the database and support compliance with HIPAA and applicable regulatory requirements.
- Suggest workflow improvements, contribute specialized reimbursement expertise, and help train team members when required.
Requirements
- Associate’s or bachelor’s degree, or an equivalent combination of education and experience.
- At least 4 years of related professional experience, preferably in a phone-intensive medical-device or healthcare environment.
- Required knowledge of individual health-plan insurance and the managed-care industry.
- Strong customer service, communication, analytical thinking, information-gathering, and problem-solving skills.
- Ability to work cooperatively with others, manage change, handle stress, and work with limited direct supervision.
- Work requires sitting and standing in a normal office environment, computer and calculator use, and occasional lightweight lifting.
Nice to have
- Knowledge of diabetes and experience supporting patients with diabetes.
- Experience with Salesforce CRM.
- Experience in reimbursement, call-center operations, or medical-device customer support.
Culture & Benefits
- Performance-driven environment focused on customer experience and continuous improvement.
- Cross-functional collaboration with healthcare, insurance, sales, billing, and case-management stakeholders.
- Opportunity to contribute to special projects and provide feedback on department processes.
- Reasonable accommodation may be provided to enable individuals with disabilities to perform essential functions.
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