Purchase Reimbursement Coordinator

Purchase Reimbursement SpecialistGGRC is currently hiring for a Purchase Reimbursement Specialist. This role will coordinate and process caregiver reimbursements for out-of-pocket expenses incurred for services for an individual enrolled in the Golden Gate Regional Center (GGRC) Early Start program. Communicate and work with caregivers to obtain the needed documents from their health insurance company to be reimbursed by GGRC.

Partner with service coordinators and the vendorization unit to complete reimbursement process. Submit purchase of service authorizations (POS) for caregiver reimbursement.This is a hybrid flex schedule role offering the opportunity to work in the community, from any of our offices located in San Francisco, San Mateo and Marin County and from the comfort of your own home.What you'll do:Review individual serve's eligibility for service reimbursementCommunicate with caregivers verbally and via email regarding insurance coverage for the child's early intervention services that are listed in the individualized family service plan (IFSP)Review and analyze insurance documents such as evidence of benefit statements, invoices, and service receiptsEnsure compliance with policies and guidelines stated by the Department of Developmental Services (DDS)Maintain all client information as confidential in compliance with the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the California Lanterman ActReview service page of individualized family service plan (IFSP)Communicate with insurance claims department to obtain needed documentsSubmit purchase of service authorizations for caregiver reimbursementCoordinate with Golden Gate Regional Center (GGRC) vendorization unit for caregiver reimbursement processManage purchase reimbursement email boxRespond to caregiver and service coordinator inquiriesEducate caregivers on purchase reimbursement process for Early StartWork with Clinical Operations Manager for any cases that needs managerial guidanceIdentify and track reimbursement requests and their corresponding fiscal year due dateTrack case statusesPrepare copay worksheet and assemble individual packets for submission to GGRC vendorization unitReceive and coordinate new referrals for purchase reimbursements from service coordinatorsTrack, collect stats and numbers for Early Start quarterly dashboard for reporting purposesWho you are:Written communication: ability to develop standard business communications, using proper grammar, spelling and punctuationOral communication: ability to convey complex information and ideas in a clear, concise, and professional mannerAbility to operate basic office equipment, including scanners, copiers, faxes, phonesBasic familiarity with MS Word®, MS Excel®, MS PowerPoint®, MS Outlook® or similar software applicationsAbility to use internal records systemAbility to type 60 wpmUse of discretion and ability to maintain confidentialityBasic understanding of health insurance billing and terminology such as co-payments, coinsurance, deductibles, and evidence of benefit