Reimbursement Case Specialist

MCRA is a leading medical device advisory firm and clinical research organization (CRO). MCRA's value contribution rests within its industry experience at integrating five business value creators—regulatory, clinical research, reimbursement, healthcare compliance, and quality assurance—to provide a dynamic, market-leading effort from concept to commercialization. MCRA's integrated application of these key value-creating functions provides unparalleled expertise for its clients. MCRA has offices in Washington, DC, Manchester, CT, New York, NY, and a global presence in Japan and Europe and serves more than 1100 clients globally. Its core focus areas of therapeutic experience include orthopedics, spine, cardiovascular, neurology, digital health, diagnostic imaging, wound care, dental, general healthcare, robotics, and in vitro diagnostic (IVD) devices.

The Reimbursement Case Specialist is a dynamic, public-facing role that is focused on supporting a variety of patient access and reimbursement functions. Excellent oral and written communication skills combined with exceptional customer service skills are essential functions for this position. 

Responsibilities

• Perform benefit verification and pre-authorizations.
• if they do not have all the information needed for a pre-auth or if it kicked back by the insurer this role will call the insurances companies, providers, medical record departments and maybe even the patients to get the correct info to re-submit.
• Adhere to all HIPAA compliance policies
• Ensure all work products comply fully with related guidelines, regulations, standards, policies, and mission of MCRA.
• Additional duties as assigned

Required Qualifications

• Associate's degree
• 1+ year of experience in health care, preferably in a physician practice or facility
• Proficiency with MS Office Suite, including PowerPoint, Excel, Word, and Outlook
• Excellent oral and written communication skills
• Ability to work effectively in a team environment
• Detail and process-oriented, with analytical and documentation proficiencies
• Demonstrates strong patient advocacy skills, and client interaction skills

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as to meet the ongoing needs of the organization.

MCRA, LLC is an equal opportunity/Affirmative Action employer and does not discriminate in its selection and employment practices. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, political affiliation, sexual orientation, gender identity, marital status, disability, protected veteran status, genetic information, age, or other legally protected characteristics.