Reimbursement Specialist

Job Description

Job Description

Position: (Contract) Reimbursement Specialist
Employment Type: Contract (6 Month contract with the possibility of extension) 
Employer: Kelly Services
Location: Remote, U.S.-based, (Must be within 100 miles of Orlando, FL)
Pay Range: $21 to $27 per hour

Work Location & Training Requirements: This is a remote position with no regular on-site work required and must be performed from an approved U.S.-based work location. Relocation benefits are not provided. Initial training and/or onboarding will require travel of up to one (1) week, with advance notice.

Remote Work & Compliance Requirements: Must have a dedicated, distraction-free workspace with a closing door, separate from common areas. Must maintain a reliable, high-speed internet connection necessary for all job duties. Ensure phone conversations involving Protected Health Information (PHI) cannot be overheard by others and that computer screens are not visible to unauthorized individuals. All work must be conducted via the corporate VPN; local data downloads, unapproved caching, or local tokenization of sensitive records are prohibited. Full adherence to HIPAA, Sensitive Personal Information (SPI) consent governance, and all applicable regional data privacy laws is required.

Position Overview: As a Reimbursement Specialist, you will investigate patients' insurance benefits and obtain prior authorization information for therapies or products as requested by patients or their family members. Responsibilities include identifying network providers, clarifying co-pays, pursuing product coverage in accordance with payer authorization requirements, and maintaining payer profiles by accurately recording data in the system. You will communicate benefit investigation outcomes to internal contacts such as case managers and learn and apply processes for multiple products, ensuring compliant and effective reimbursement service. The Reimbursement Specialist role reports to a supervisor or area manager.

Key Responsibilities: Communicate effectively in both written and verbal formats. Work collaboratively within the team structure and appropriately delegate next steps. Demonstrate strong problem-solving skills and provide exceptional customer service. Maintain high attention to detail and efficiently prioritize tasks. Follow written Standard Operating Procedures (SOPs). Be prepared for periodic mandatory overtime, including weekends, during times of high volume.

Qualifications: Bachelor’s degree preferred. Reimbursement experience preferred. Ability to meet the pay range of $21 to $27 per hour; actual rate determined based on experience, qualifications, location, and other job-related factors.

 

As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

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About Kelly

Work changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life-just ask the 300,000 people we employ each year.

Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

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