Medical Reimbursement Analyst - Sparks Group

Job Summary/Company:  Sparks Group has partnered with a leader in healthcare services that has an immediate need for experienced Medical Reimbursement Analysts for a 5 month contract. These roles are fully onsite in Sterling, VA.  If you have 2+ years of direct industry experience , love interacting with customers and working in a fast paced environment this may be the perfect opportunity for you. Apply today and call 703-620-6444!


Responsibilities:

• Manage complex billing, coding, insurance inquiries, and appeals.
• Coordinate with payers, Patient Navigators, and clients.
• Resolve denied or underpaid claims.
• Assess patient insurance coverage and eligibility.
• Reverify benefits and document activities
• Serve as a regional contact for senior-level clients.
• Coordinate tasks between Occam and the client.
• Communicate with Patient Navigators for patient progress.
• Attend client meetings, training, and conferences (5% travel).
• Research payer medical policy and update requirements.
• Prepare and review reports as needed.
• Complete quality monitoring and assurance tasks
• Host conference calls with senior-level clients.
• Review and process documentation for patient support program eligibility.
• Additional tasks and duties as assigned

Qualifications/Background Profile:

• Bachelor's degree or equivalent experience.
• Minimum 4 years of recent healthcare experience (2 years direct industry preferred).
• Demonstrated proficiency in Microsoft Office applications.
• Exceptional customer service skills, with a preference for call center experience.
• Advanced problem-solving, research, and analytical capabilities.
• Excellent written and verbal communication skills.
• Meticulous attention to detail and exceptional data entry accuracy.
• Proven ability to effectively manage multiple tasks and prioritize work independently.
• Must pass a criminal background screening 

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This job is In-Person.

We offer several comprehensive benefits package including health and life insurance, paid and unpaid time off, and retirement and savings plans to qualifying employees.

Download the Sparks Group mobile app from Apple App Store or Google Play.

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Sparks Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, pregnancy, citizenship, family status, genetic information, disability, or protect veteran status.