General Member Reimbursement Specialist

Job description

Thank you for considering Progyny! The General Member Reimbursement (GMR) Specialist is responsible for managing and resolving member reimbursement and financial assistance cases with accuracy, efficiency, and a high level of member service. This role supports members throughout the reimbursement lifecycle by reviewing eligibility, processing payments, maintaining benefit information, and communicating case outcomes in a timely and empathetic manner. The GMR Specialist plays a critical role in ensuring operational excellence by meeting service-level expectations, maintaining data integrity across systems, and partnering cross-functionally with Finance, Eligibility, and Member Services teams. The ideal candidate is highly detail-oriented, comfortable managing high-volume casework, and thrives in a fast-paced, data-driven healthcare environment while delivering a positive and supportive member experience. What y ou’ll d o…: Manage member reimbursement, claims billing, and financial assistance cases, ensuring accurate processing and timely resolution. Review documentation, validate eligibility, resolve discrepancies, and support end-to-end reimbursement and payment workflows. Work wit...