**Experienced Reimbursement Specialist – Healthcare Benefits Verification**

• *Job Summary:**

Join arenaflex, a leading provider of innovative healthcare solutions, as an Experienced Reimbursement Specialist – Healthcare Benefits Verification. In this critical role, you will be responsible for verifying patient insurance benefits to ensure seamless reimbursement for healthcare services. As a key member of our team, you will play a vital role in ensuring that healthcare providers have up-to-date information about patient insurance coverage, guaranteeing timely and accurate reimbursement for their services.

• *About arenaflex:**

arenaflex is a dynamic and forward-thinking organization that is dedicated to revolutionizing the healthcare industry through innovative solutions and exceptional customer service. Our team is passionate about delivering high-quality results and making a positive impact on the lives of our clients and patients. As a Reimbursement Specialist, you will be part of a collaborative and supportive team that is committed to excellence and continuous improvement.

• *Job Responsibilities:**

As an Experienced Reimbursement Specialist – Healthcare Benefits Verification, you will be responsible for:

• Verifying patient insurance benefits to ensure seamless reimbursement for healthcare services
• Conducting outbound calls to insurance providers to verify information and confirm coverage changes
• Collecting and reviewing patient insurance benefit information according to program SOPs
• Completing and submitting insurance forms and prior authorizations in a timely manner
• Providing exceptional customer service to internal and external customers, resolving requests promptly and escalating complaints as needed
• Maintaining regular phone contact with provider representatives, third-party customer service reps, and pharmacy staff
• Effectively communicating with payors for benefit investigations and coordinating with inter-departmental associates as necessary
• Processing insurance and patient correspondence
• Reporting reimbursement trends or delays to the supervisor
• Providing all necessary documentation for prior authorizations, including demographic details and relevant identification numbers
• Analyzing moderate scope problems within defined SOPs, exercising judgment to determine appropriate actions
• Reporting all adverse events in line with training and SOP
• Performing related duties as assigned with minimal instruction

• *Requirements:**

To be successful in this role, you will need:

• At least 1 year of experience in specialty pharmacy, medical insurance, healthcare setting, and/or related experience
• Excellent communication and customer service skills
• Ability to work in a fast-paced environment with multiple priorities and deadlines
• Strong analytical and problem-solving skills
• Proficiency in MS Office, including Excel, Outlook, and Word
• Ability to work independently and as part of a team
• High school diploma or equivalent
• Background check required
• Employment verification required: Last 3 employers

• *Preferred Qualifications:**

• 2+ years of experience in healthcare benefits verification or related field
• Experience working with CRM systems and prior authorization processes
• Strong knowledge of healthcare insurance policies and procedures
• Certification in healthcare benefits verification or related field

• *Work Environment:**

As a remote employee, you will have the flexibility to work from the comfort of your own home or designated workspace. You will be required to have a private, designated workspace and a reliable internet connection. arenaflex is committed to providing a supportive and inclusive work environment that promotes work-life balance and employee well-being.

• *Training and Development:**

arenaflex is committed to providing ongoing training and development opportunities to ensure that our employees have the skills and knowledge they need to succeed in their roles. As a Reimbursement Specialist, you will receive comprehensive training on our CRM system, prior authorization processes, and healthcare insurance policies and procedures. You will also have access to ongoing training and development opportunities to enhance your skills and knowledge.

• *Compensation and Benefits:**

arenaflex offers a competitive compensation package, including:

• $18.00 per hour (base rate)
• $19.00 per hour (for 2+ years of experience specific to healthcare benefits verification)
• Overtime pay for hours worked beyond 40 hours per week
• Comprehensive benefits package, including health, dental, and vision insurance
• 401(k) retirement plan with company match
• Paid time off and holidays
• Opportunities for career growth and advancement

• *How to Apply:**

If you are a motivated and detail-oriented individual with a passion for healthcare and customer service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. arenaflex is an equal opportunity employer and welcomes applications from diverse candidates.

• *Note:**

arenaflex is committed to ensuring the security and confidentiality of patient information. As a Reimbursement Specialist, you will be required to complete a background check and sign a confidentiality agreement to ensure the protection of patient information.

• *Application Process:**

To apply for this position, you will need to:

• Complete a position information session with Team Hiregy (face-to-face meeting)
• Sign a "Right to Represent" agreement to work with Hiregy on the project
• Complete a position requirements checklist and action items issued to candidate
• Complete a Spark Hire one-way video interview
• Participate in a hiring decision based on the Spark Hire interview
• Successfully complete all new hire requirements, including training and equipment pickup
• Return equipment at the end of the project

• *Training Schedule:**

The training schedule for this project will be as follows:

• December: M-F, 9:00 AM to 6:00 PM EST (on-camera training)
• Approximately 3 weeks of training, including practice and mock calls
• Various assessments during training, with a requirement to meet program score requirements by December 31

• *Equipment Pickup:**

You will be required to pick up equipment in Lake Mary, FL at the beginning of the project.

• *Return of Equipment:**

You will be required to return equipment in Lake Mary, FL at the end of the project.

• *Holidays:**

arenaflex observes the following holidays:

• December 24-25, 2024
• December 31, 2024 - January 1, 2025

• *Weekends:**

You may be required to work weekends starting in January, with overtime pay approved by the client.

• *Overtime:**

All overtime must be client-approved.

• *Schedule:**

The schedule for this project will be M-F, between 8:00 AM to 8:00 PM EST, with a 1-hour lunch break and adherence to assigned break schedules.