The Reimbursement Lead Associate is responsible for all aspects of the insurance verification, prior authorization, and claims appeal processes for the supported products. This is a front line position in a fast paced, results driven environment. The RLA responds to all provider, patient, and internal requests in a timely fashion and is responsible for providing patient specific coding, coverage, and reimbursement information to the hotline’s customers.
** In addition to the execution of the core RLA functions listed below, the reimbursement lead associate must possess an elevated awareness of his/her responsibility to the team and obligation to the team’s ongoing functioning and overall success.** This elevated responsibility will be demonstrated by the following: research and resolution of escalated issues, assistance with training, peer review/shadowing, Reimbursement Business Manager and Sales Rep communication, payer research, and special projects as assigned by leads and manager. In addition, the RLA must be able to manage his/her case load with minimal direction from the supervisor and manager.
QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
Osiris Therapeutics, Inc. is an Equal Opportunity Employer with a commitment to diversity. Applicants are considered on the basis of individual merit without regard to race, color, national or ethnic origin, gender, gender identity, sexual orientation, marital status, veteran status, pregnancy, age, religion, disability, genetic information, or any other characteristic protected by law.