Customer Reimbursement Coordinator

Sight Sciences
United States, California, Menlo Park
4040 Campbell Avenue (Show on map)
Feb 28, 2025
Description Overview: The Customer Reimbursement Coordinator is responsible for providing direct assistance to customers with their reimbursement inquiries and claims. This role involves verifying insurance benefits, assisting with claims processing, initiating prior authorizations with payers on behalf of providers, answering customer queries, and ensuring compliance with reimbursement policies and regulations. The ideal candidate will have strong communication skills, a detail-oriented mindset, and experience in customer service or healthcare reimbursement. Responsibilities: Respond to customer inquiries regarding reimbursement policies, claims status, and procedures via phone, email, and other communication channels Provide clear and accurate information to customers about the reimbursement process Provide appeal and denial support for negative outcome authorization requests Assist customers in completing and submitting reimbursement claims Review and verify benefits in accordance with company policies and regulatory requirements Verify the accuracy and completeness of claim documentation Ensure timely and efficient assistance with the processing of claims to meet customer needs and company standards Maintain detailed and organized records of customer interactions and claims processing Ensure all documentation is accurate, up-to-date, and compliant with relevant regulations Prepare and submit reports on reimbursement activities and trends as required Adhere to all relevant regulations, policies, and procedures related to reimbursement Conduct regular quality checks to ensure high standards of service and compliance Stay informed about changes in reimbursement policies and procedures and update customers and internal teams accordingly Work closely with other departments to resolve complex reimbursement issues and improve processes Provide support and assistance to team members as needed Participate in training and development activities to enhance knowledge and skills Skills/Qualifications: Associate's degree in business, healthcare administration, or a related field or equivalent work experience is required, a bachelor's degree is preferred Minimum of 4 years of experience in customer service, healthcare reimbursement, or a related field Strong understanding of reimbursement processes and regulations Excellent communication and interpersonal skills High level of attention to detail and accuracy Proficiency in using customer support software and office applications Experience with reimbursement management systems and software Knowledge of healthcare insurance and billing processes Certification in healthcare reimbursement or a related field #LI-Remote Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)