Tailored Management

PIPELINE - Reimbursement Coordinator - Summit Project - Remote

Dublin, OH
Tailored Management is a global staffing firm that specializes in partnering with large organizations to provide contingent labor solutions in a VMS/MSP environment.

Job Description

PIPELINE - Reimbursement Coordinator - Summit Project

Posted: Wednesday, 6/18/2025
JOB TITLE: Reimbursement Coordinator
PAY RATE: $20.00/hour
LOCATION: 100% Remote, schedule based in Central Time
TRAINING AND WORK SCHEDULES: Your new hire training will take place M-F 8:00am-5:00pm CST, mandatory virtual attendance is required. You must attend 100% of training and pre-planned appointments/time off will not be accepted. This position is full-time (40 hours/week). 8:00am-5:00pm CST work schedule to be followed after training is complete.

Join a company that helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions—driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.

Together, we can get life-changing therapies to patients who need them—faster.

Responsibilities:
  • Responsible for handling inbound and outbound calls, with ability to determine needs and provide one call resolution
  • Responsible for reporting adverse events within the required timeframe
  • Create and complete accurate referrals and applications and keep updated on policy or procedural changes
  • Investigate and resolve patient/physician inquiries and concerns in a timely manner
  • Enter detailed information into company proprietary software while conversing via telephone
  • Place outbound phone calls for patient follow ups or confirmations
  • Demonstrate superior customer support talents
  • Interact with the patient referral sources to process new applicants
  • Steward patient accounts from initial contact through final approval/denial
  • Prioritize multiple, concurrent assignments and work with a sense of urgency
  • Maintaining quality and providing an empathetic and supportive experience to the patient by controlling the patient conversation, educating the caller as they provide effective and efficient strategies and processes

Qualifications:
  • High School Diploma, GED or equivalent work experience
  • 1-3 years' experience in related field preferred
  • Previous customer service experience, preferred
  • Knowledge of practices and procedures commonly used in a call center or customer service environment, preferred
  • Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred
  • Ability to use well-known and company proprietary software for maximum efficiencies, preferred
  • Maintain a high level of productivity, preferred
  • Ability to multitask while conversing, preferred

What is expected of you and others at this level:
  • Applies acquired job skills and company policies and procedures to complete standard tasks
  • Works on routine assignments that require basic problem resolution
  • Refers to policies and past practices for guidance
  • Receives general direction on standard work; receives detailed instruction on new assignments
  • Refers to policies and past practices for guidance
  • Receives genal direction on standard work; receives detailed instruction on new assignments
  • Consults with supervisor or senior peers on complex and unusual problems


REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable .
  • Download speed of 15Mbps (megabyte per second)
  • Upload speed of 5Mbps (megabyte per second)
  • Ping Rate Maximum of 30ms (milliseconds)
  • Hardwired to the router
  • Surge protector with Network Line Protection for issued equipment
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