Reimbursement Specialist – Customer Support
NAVERIS
full-time
Posted on:
Location Type: Remote
Location: Remote • Massachusetts, North Carolina • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Handle inbound and outbound calls, faxes, and emails, determining appropriate next steps and resolutions
- Communicate clearly and empathetically with patients and providers regarding billing policies, EOBs, financial assistance programs, and member responsibility
- Explain insurance-related processes to patients and address non-clinical billing questions
- Critically assess complex or sensitive situations and escalate to leadership when appropriate
- Understand and communicate the reimbursement process from intake through resolution
- Deliver a high level of customer service while managing multiple concurrent priorities
- Utilize internal systems, tools, and vendor resources to support reimbursement activities
- Ensure compliance with Federal and State regulations, including HIPAA and PHI handling
- Working cross functionally with the CLIA lab, Patient Navigation and Clinical Operations teams to ensure a best-in-class customer and patient experience.
- Ability to work across team boundaries and collaborate to achieve the best outcome is an essential job responsibility
- Fully remote role (U.S.-based) with occasional travel for trainings, meetings, or on-site presence at headquarters. Travel requirement: up to 5%.
Requirements
- 4+ years of experience in reimbursement or revenue cycle management within a diagnostics company, laboratory, or commercial payer environment
- Bachelor’s degree or equivalent experience
- Experience with Xifin, Quadax, or Telcor preferred
- Strong knowledge of medical benefit structures, including Federal, State, PPO, HMO, and indemnity plans
- Working knowledge of CPT, ICD-10, and HCPCS coding, as well as LCD/NCD coverage and reimbursement guidelines
- Strong problem-solving skills with attention to detail and follow-through
- Excellent verbal and written communication skills; strong customer service orientation
- Effective time management skills and ability to adapt in a fast-paced environment
- Self-starter who can work independently and manage competing priorities.
Benefits
- competitive compensation
- work/life balance
- remote work opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
reimbursementrevenue cycle managementCPT codingICD-10 codingHCPCS codingLCD coverage guidelinesNCD coverage guidelinesmedical benefit structuresfinancial assistance programsEOBs
Soft skills
communicationcustomer serviceproblem-solvingattention to detailtime managementadaptabilitycollaborationcritical assessmentempathyself-starter