POSTED April 26

Reimbursement Data Entry Representative at Smith & Nephew

  • Data Entry
  • Fulltime
  • Anywhere (100% Remote) Only
Job Description

Full Job Description

Reimbursement Data Entry Representative

Do you have a passion for working with people in the healthcare setting? Do you want to have an impact on scientific advancements in the medical field? If so, we are looking for someone like you to join our Reimbursement Hotline Team.

The Reimbursement Data Entry Representative is responsible for all Intake and Data Entry related tasks. This includes processing of the following information received via fax internally such as Insurance Verification Requests (IVRs), clinical information, patient demographics, patient consents, payer correspondence and any other information as deemed necessary. You are responsible for ensuring all information is entered into the dedicated Reimbursement database accurately. This position relies heavily on accuracy as it dictates future processing of the case in its entirety. You need to be a self-sufficient employee that is a self-starter and can work in a high volume, fast-paced, results driven environment; you may occasionally be responsible for placing outbound calls to gather missing information as necessary. The goal of this role is to complete all data entry efficiently for further case processing.

Responsibilities:

  • Review faxes received daily and further compiling, sorting, and establishing data entry priorities and identify missing information by focusing attention to detail and following requirements to create case records based on information received
  • Screen for any duplicate records to avoid duplicate entry of information
  • Ensure appropriate email/fax notifications are sent out relating to the case record created per data entry for the request
  • Accurate records and documents all events related to the case record created
  • Ensure patient identifiable information (PHI) is stored securely per the department policies and guidelines
  • Communicate professionally with senior management, coworkers, internal employees, external customers and representatives of other internal departments
  • Provide exceptional customer service to internal and external customers; resolve any customer requests in a timely and accurate manner; escalate complaints accordingly.
  • Prioritize duties and tasks as necessary to ensure assignments are completed in a timely fashion. Report any delays/challenges to Team Lead and Supervisor as necessary.

Education:

  • Bachelor’s degree, strong preference

Experience:

  • 1+ years of customer service and reimbursement experience within the biotechnology or pharmaceutical industry, or call-center environment
  • Knowledge of Medicare, Medicaid, and Private Insurer Reimbursement Methodology
  • Basic understanding of the Data Entry
  • Familiar with ICD 10 Coding

Travel:

You will start out as a remote employee due to impact of the Covid-19 pandemic, but will transition to the Columbia, MD or Fort Worth, TX Smith+Nephew Site Locations.

Competencies

  • Accountability
  • Good Communication Skills and Professionalism
  • Strong knowledge of Microsoft Word, Excel, Power Point and Outlook
  • Flexibility and ability to adjust to changing priorities and unforeseen events; excellent time management skills
  • Ability to work consistently in a fast-paced environment
  • Strong quality orientation including the ability to focus on details and adherence to standards while ethically maintaining a business perspective

About Us:

Smith+Nephew has a proud history of more than 160 years of improving health around the world. Whilst we have grown significantly from our beginnings as a small family pharmacy in Hull, England, our caring spirit has remained the same.

Care, Collaboration, & Courage:

Care means that we show empathy and understanding for each other, our customers and patients.

Collaboration means we work together as a team, based on mutual trust and respect.

Courage is about continuous learning, innovation and accountability.

At Smith+Nephew, we offer competitive and rewarding compensation and benefits packages!

Our benefits packages vary from country to country and by level, but often the total package includes the following:

  • A competitive salary with an annual bonus plan.
  • Strong Healthcare coverage.
  • A competitive company retirement benefit scheme for all employees.

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

Smith+Nephew provides equal employment opportunities to applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability. 

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