Clinical Appeals Specialist position (SF Bay Area)

A Large Biotech company is seeking to hire a Clinical Appeals Specialist for the San Francisco Bay Area ($30-35/hr)

Details:Provides customer focused reimbursement support to patients,distributors, physicians and internal sales force. Educates, informs, and assists patients and providers to navigate through the reimbursement process. Identifies barriers to reimbursement and continually identifies and recommends program efficiencies to the team to promote high quality of work by Access Solutions/GATCF staff. Identifies and facilitates referrals to alternative coverage options and financial assistance programs for patients who are under insured or require copy assistance.

Skills:3 years experience in Healthcare reimbursement. Proficient in all aspects of reimbursement (i.e. benefit investigation, payor reimbursement policies). Excellent investigational and analytical skills with a proven ability to communicate effectively in both written and verbal format. Ability to work collaboratively in a team structure and responsibly delegates next steps to appropriate team members.Demonstrates effective problem solving and excellent customer service. Exceptional attention to detail and ability to prioritize tasks. Requires computers skills including MS Excel. Experience writing Appeals is a must.

Education:BA or BS Degree REQUIRED. Experience preferred. Must have strong customer service skills

Feel free to contact me at 925.831.8551 or at stomtania@theplusgroup.com