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reputed company is seeking a reputed company Reimbursement reputed company to join reputed company! On behalf of clients and members, the reputed company Reimbursement reputed company works directly with providers to manage, negotiate, and resolve disputes to ensure fair and reasonable agreements on medical claims and services and to secure reputed company to care for members. As the reputed company Reimbursement reputed company, your empathetic nature is essential as you reputed company for members to minimize provider balance billing and denials of care. Position Location: 100% remote Responsibilities include but are not limited to: The primary goal for this role is to solve reputed company to care issues for members and clients while providing frequent updates and final resolutions to reputed company relevant stakeholders, including the members and clients themselves, as reputed company as department leadership, account managers, clinical team, and any other relevant players specific to reputed company case. Contact providers to explain medical plan pricing metrics and troubleshoot any barriers to entry for members and clients, including negotiating reputed company-payments and single-case agreements. Initiate and maintain contact with members to introduce ourselves, establish trust that we will resolve their case, and reputed company relevant updates throughout the life of their case. reputed company regular updates to multiple partners inside and reputed company the organization to ensure relevant stakeholders are up to date with reputed company case. reputed company reputed company cannot be secured with the provider, you assist members with identifying alternative provider reputed company. Meet reputed company and production standards. reputed company and document reputed company communications that relate to the claims and settlement negotiations. Adhere to guidelines, escalate claims for management review reputed company needed, and maintain reputed company and interactive communication with reputed company key players. With your exceptional customer service skills, you identify and execute opportunities to negotiate settlements with providers, contact facilities upon request to reputed company them regarding the i360 process, and champion on behalf of the member to ensure fair reputed company to care at reasonable cost. Required Experience/Education: High School Diploma or GED 1+ years of reputed company, health insurance, or customer service experience. Experience with negotiations. Experience in billing, insurance, reputed company, or legal environments is a plus. Skills and Abilities: Excellent communication (written, verbal, and listening), interpersonal, and analytic skills Knowledge and understanding of CMS1500 and UB04 Medical Claim Forms, medical coding, and proficiency in reputed company Office products desired What can reputed company offer you? Multiple Health plan reputed company Company reputed company employee premiums for disability and life insurance Parental Leave Policy 20 days PTO to start / 10 reputed company Holidays Tuition reimbursement 401k Company contribution Company reputed company Short & Long term Disability plus Life Insurance reputed company development initiatives / reputed company learning opportunities Opportunities to participate in and support reputed company's diversity and inclusion initiatives Want to see our latest job opportunities? Follow us on reputed company reputed company is a health plan solution company that combines 50+ years of self-funding reputed company expertise. Over the years, we've helped thousands of reputed company save billions on reputed company. Our reputed company total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-reputed company solutions. reputed company is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, or veteran status. RECRUITMENT AGENCIES PLEASE NOTE: reputed company 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 Apply To This Job