Client Reimbursement Coordinator

Imagine360 is seeking a Client Reimbursement Coordinator to join the team! In the Client Reimbursement Coordinator role, you will be responsible for assisting the Client Reimbursement Advocacy team with various day-to-day tasks and responsibilities involving assisting members and payors with provider pushback. This will include distribution of inquiries and questions, reporting, handling No Surprises Act claims including the IDR portal and coordinating claim payments.

Position Location: 100% remote

Responsibilities include but are not limited to

• Answer incoming phone calls and emails from internal and external partners and triage, as necessary, to the appropriate parties.
• Create and distribute cases referred to the Client Reimbursement Advocacy team via email and phone call.
• Prepare and send reports on ageing cases, closures, and team member statistics.
• Coordinate with Providers, as well as Audit and Claims teams on the payment of claims.
• Assist management with various tasks and assignments.
• Research providers and obtain contact information to be used for negotiations.
• Report any system issues.
• Adhere to HIPAA guidelines and regulations.
• Other related projects and duties as assigned.

Required Experience/Education

• High School/GED
• Bachelor's Degree or 1-3 years in a related field
• Healthcare and/or insurance company
• Provider relations experience

Skills and Abilities

• Must thrive in a fast-paced environment.
• Adaptability to meet the dynamic needs of the industry.
• Proficient in MS Outlook, Word, Excel, and PowerPoint.
• Excellent written and verbal communication, administrative, and organizational skills.
• Ability to establish priorities, meet deadlines, and work independently with limited supervision.
• Demonstrate a commitment to building new skills and fostering a positive work environment.
• Demonstrated commitment to high professional ethical standards

What can Imagine360 offer you?

• Multiple Health plan options
• Company paid employee premiums for disability and life insurance
• Parental Leave Policy
• 20 days PTO to start / 10 Paid Holidays
• Tuition reimbursement
• 401k Company contribution
• Company paid Short & Long term Disability plus Life Insurance
• Professional development initiatives / continuous learning opportunities
• Opportunities to participate in and support the company's diversity and inclusion initiatives

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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation