Kelly Services Insurance Rater in South San Francisco, California

Reimbursement Specialist , South San Francisco, CA

Kelly Services is currently seeking a Reimbursement Specialist with one of our top Health Insurance clients in South San Francisco, CA

As Reimbursement Specialist you will provide exceptional communication, customer service, filing, and must have the ability to meet deadlines and adhere to quality standards. Our client’s fast-paced, high volume, team-oriented environment is the perfect place to start your career

Have Questions? Chat with me here!

Contract: 5/2/2018- 8/31/2018 (However, Orientation is in April)

Pay: $28/hour

Schedule: Monday – Friday: must have open availability from 5AM - 5PM (Will only work 8 hours a day)

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Summary: The Foundation Specialist evaluates patient eligibility, and coordinates shipments of products to patients within program guidelines


  • Investigates patients insurance benefits Identifies network providers, provider restrictions, co-pays as needed

  • Documents requirements for prior authorization and medical review process

  • Documents activities appropriately in progress notes

  • Pursue product coverage for patients in accordance with the payers authorization requirements within the departments established performance criteria

  • Maintains payer profiles by recording payer specific data promptly into the system

  • Convey outcomes of benefit investigation to internal contacts i.e. case managers

  • Ability to learn processes for multiple products and effectively apply learnings to provide effective reimbursement services

  • Conducts all work in a compliant manner

  • Consults with team members on an as needed basis

  • This may include, but is not limited to, high referral season Blizzard, Enrollment renewal , new product or system launches, enrollment renewals, new line extensions, or any unexpected surge in volume or backlog situations.


  • Communication Listens well; expresses ideas fluently and logically; is open to input and can be depended on for truthfulness Inspiring and Influencing

  • Fosters an exchange of ideas and support; persuades and influences without authority

  • Teamwork and Collaboration

  • Creates atmosphere of openness and truest collaborates; offers support and encouragement

  • Achieving Results Is goal directed and persistent; is accountable for meeting commitments; recognizes the contributions of peers


  • Bachelor’s degree is preferred

  • A minimum of 3 years reimbursement experience preferred

  • Proficient in all aspects of reimbursement i.e., benefit investigations, payer reimbursement policies, regulatory and administrative rules

  • Understands reimbursement/funding resources and how to access these resources

  • Knowledge of managed care industry including government payers

  • Excellent investigational and analytical skills with a proven ability to communicate effectively in both written and verbal format

  • Ability to work collaboratively in a team structure and responsibly delegates next steps to appropriate team members

  • Demonstrates effective problem solving and excellent customer service

  • Exceptional attention to detail and ability to prioritize tasks

Have Questions? Chat with me here!

Why Kelly?

  • Exposure to a variety of career opportunities as a result of our expansive network of client companies

  • Career guides, information and tools to help you successfully position yourself throughout every stage of your career

  • Access to more than 3,000 online training courses through our Kelly Learning Center

  • Group-rate insurance options available immediately upon hire*

  • Weekly pay and service bonus plans

Apply Today!

If you are interested in this exciting opportunity, please apply to this posting with an updated resume. Then follow up with Joel Calderon at Tell your friends too….referrals are always appreciated!

Why Kelly ® ?

At Kelly Services ® , we work with the best. Our clients include 95 of the Fortune 100 ™ companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.

AboutKelly Services ®

As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2016 was $5.3 billion. Visit and connect with us on Facebook , LinkedIn and Twitter .

Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law. at