Benefits Investigation Specialist
LocationUS-PA-Malvern
ID2024-1207
Category
Customer Service/SupportPosition Type
Regular Full-TimeOverviewPosition Overview:
The Benefits Investigation Specialist is responsible for working with Neuronetics customers and third-party payers via a support line to help obtain reimbursement (coverage and payment) for Neuronetics products. In addition, the Benefits Investigation Specialist recommends and implements process and service improvements under the direction of the Manager of Customer Support. The Benefits Investigation Specialist also gathers and analyzes reimbursement support data and makes recommendations for improvement relating to trends.Essential Duties/Responsibilities:
Operating the support line on the schedule assigned.
Improving the coaching aspect of the reimbursement support service, to lead customers through the next stages in the reimbursement process.
Supporting customers with reimbursement issues/questions, including the more advanced issues/questions.
Conducting insurance and benefits verifications.
Educate customers on the pre-authorization process and/or respond to customer questions on payer specific pre-authorization procedures, including the more advanced pre-authorizations.
In collaboration with the reimbursement team, support sales representatives with training of customers regarding reimbursement tools and process.
Maintaining real-time records in a reimbursement database of payer/account activity. Acting as team lead on reporting.
Researching and monitoring payer policies, including the more advanced policy requests.
Acting as primary website interface for new policy updates, etc.
Assessing reimbursement support processes and recommends and implements process and service improvements under the direction of the Director, Reimbursement and Health Policy.
Gathering and analyzing reimbursement support data and makes recommendations for improvement relating to trends.
Providing coaching and training to Benefits Investigation Specialists as it relates to reimbursement education and process with a goal towards improvement in the quality of service, from a technical standpoint.
Acting as the Project Management "go to" person for the department.
Working with customer reimbursement support beyond what the hotline typically handles.
Acting as primary architect for the new service that takes the BI through to PA/treatment tracking.
Other Duties as needed or requiredKnowledge, Skill, and Abilities:
Strong written and oral communication skills
Strong planning and organizational skills
Strong analytical skills
Strong project management skills
Ability to work autonomously with limited supervision
Microsoft Office proficiency required
Education and Experience:
Five or more years experience in nursing, call center support, customer service, medical technology reimbursement or coding, managed care, and/or related industries
Associate degree (or equivalent) requiredPhysical Requirements
Standing/Sitting 95%
Walking/Bending/Stooping 5%
Lifting Requirements 1 to 5 Ibs
Travel by air, rail, auto (% of time) 5%
Applicants must be authorized to work for any employer in the US. We are unable to sponsor or assume responsibility for employment visa/work authorization at this time.Neuronetics is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Neuronetics makes hiring decisions based solely on qualifications, merit business needs at the time.