Reimbursement Specialist job in United States

New York, New York
time type
Full time

Thank you for considering Progyny!

We are looking to add a Reimbursement Specialist to the team.

What you’ll do…

  • Manage a high volume of member reimbursement cases while meeting expected SLAs.
  • Manage a high volume of financial assistance program cases while meeting expected SLAs.
  • Communicate with members via email and provide updates when cases are finalized.
  • Review bi-weekly ASRM eligibility reports for processing.
  • Update member’s health plans.
  • Assist finance with weekly check runs. Reimbursement Specialist

About you…

  • Prior experience required in a health care environment—knowledge of the fertility industry is a plus
  • Strong attention to detail is must
  • Prior carrier billing experience
  • Prior experience using Microsoft excel and outlook, and Salesforce knowledge preferred
  • Ability to manage multiple priorities including understanding various insurance products and levels of benefit within each product.
  • Comfortable in an environment with data-driven goals with monthly performance feedback
  • Flexible and able to navigate change
  • Ability to manage difficult conversations
  • Knowledge of CPT, HCPCS, AND ICD-10 codes and understanding of medical terminology strongly preferred
  • Ability to work independently and demonstrate good judgment
  • Excellent interpersonal skills – ability to communicate accurately and effectively with internal and external stakeholders
  • Highly organized, quick learner, with ability to multitask and prioritize work effectively

Progyny is a leading fertility benefits management company in the US. We are redefining fertility and family building benefits, proving that a comprehensive and inclusive fertility solution can simultaneously benefit employers, patients, and physicians. Our benefits solution empowers patients with education and guidance from a dedicated Patient Care Advocate (PCA), provides access to a premier network of fertility specialists using the latest science and technologies, reduces healthcare costs for the nation’s leading employers, and drives optimal clinical outcomes. We envision a world where anyone who wants to have a child can do so. Reimbursement Specialist

Our mission is to make any member’s dream of parenthood come true through a healthy, timely, and supported fertility and family building journey. Reimbursement Specialist

Other Jobs You May Be Interested In

Come join a company that’s been recognized by Modern Healthcare as one of the Best Places to Work in Healthcare. Reimbursement Specialist

Our perks:

  • Family friendly benefits: Paid maternity and paternity, fertility benefits (including egg freezing and IVF), emergency childcare program, parent’s group
  • Health, dental, vision and life insurance options for employees and family
  • Paid vacation and summer flex time
  • Company equity
  • Bonus program
  • 401K Match
  • Company social events
  • Flex days (3 days a week in the office) for positions located at NY office

In compliance with New York City’s Wage Transparency Law, the annual salary [wage] range for NYC-based applicants is: $65,000 – $75,000. There are a variety of factors that go into determining a salary range, including but not limited to external market benchmark data, geographic location, and years of experience sought/required. Progyny offers a total compensation package comprised of base salary, cash bonus, and equity.  Reimbursement Specialist

Progyny is an Equal Opportunity Employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills and experiences within our workforce. Reimbursement Specialist

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