Position Overview:
As part of the RQ Team, participates in monitoring and improving processes relative to the quality, appropriateness, and timeliness of the reimbursement information requirements of our order processing activities.

Responsibilities & Duties:
Monitors the accuracy and timeliness of order processing, qualification of revenue, confirmation of delivery tickets, and customer demographic and insurance information.

Initial CMN and follow-up CMN processes.

Initial & renewal prior authorization follow-up processes.

Performs insurance verification to ensure coverage & payment.

Other duties as assigned.

Education:
Graduate of an accredited high school or GED equivalence

Requirements:
• Minimum of three years of progressively responsible reimbursement experience in healthcare.
• Ability to understand reimbursement implication of industry change.
• Excellent interpersonal and organizational skills (a team player).
• Normal office/clerical motor skills in addition to extensive computer and telephone usage.