Job Description
Maven Wise, LLC is recruiting for an Insurance Reimbursement Specialist to support insurance reimbursement for pre-sales and post-sales service functions with a globally recognized medical devices manufacturer in Valencia, CA. About Maven Wise Maven Wise is dedicated to strengthen your organizations' talent pool by seeking out highly motivated and experienced professionals. Description Here's your day-to-day: Must be able to calculate deductibles and co-pays. Verify benefits, prepares pre-authorization requests. Document approvals and follow-up with appeals in response to insurance denials. Obtains patient information and maintains database of patient files. Facilitates communication between insurers, clinics and patients to expedite exchange of required data as it relates to insurance problems. Establish working relationship with centers' billing staff. Inbound and outbound telephone inquiries and follow up Maintain and update medical insurance database. Prepare materials for presentation to clinics and insurers e.g: appeals packages, updates for Insurance Guidebook and related materials. Your qualifications: High School Diploma or GED Experience in medical insurance and medical device prior authorization (preferred) 3+ years of reimbursement process experience Database (SAP, Oracle or JDE), MS Suite Strong ability to communicate well with: Medical Personnel, insurance representatives, customers and their families Job Types: Full-time, Contract, Temporary Pay: $22.00 per hour Schedule: 8 hour shift Monday to Friday Work setting: Hybrid work Office Education: High school or equivalent (Required) *Upon completion of