Reimbursement Specialist I jobs in United States
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Lumicera Health Services · 4 days ago

Reimbursement Specialist I

Lumicera Health Services is an innovative specialty pharmacy focused on optimizing patient well-being. The Reimbursement Specialist I is responsible for processing manufacturer copay assistance program reimbursements and ensuring accurate billing procedures to reduce discrepancies and outstanding balances.

Health CareHospitalMedicalPharmaceutical

Responsibilities

Responsible for ongoing monitoring of claims activity for accuracy and successful submission
Responsible for ensuring that patient billing information is set up appropriately in the pharmacy software
Participate, as necessary, in conferences and meetings related to reimbursement/billing
Responds to employee/patient/client questions or complaints regarding reimbursement and/or billing
Works with internal teams to review and resolve claim issues
Maintains accurate reference information relating to reimbursement and copay assistance
Responsible for accurate and thorough documentation of information, insurance and prescriptions/orders within the patient profile
The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee
Other duties as assigned

Qualification

CPhT certificationPharmacy technician licenseClaims billing experienceBenefit assessmentsCompliance program supportCooperative interaction

Required

High School Diploma or equivalent GED
The ability to consistently interact cooperatively and respectfully with other employees

Preferred

Some college preferred
CPhT preferred
Pharmacy technician license or pharmacy technician trainee license is strongly preferred in states requiring pharmacy technician licensure
Experience with pharmacy, health plan or clinical insurance claims billing, benefit assessments, billing/claims documentation, or claims auditing is preferred

Benefits

Top of the industry benefits for Health, Dental, and Vision insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays
401K company match of up to 5% - No vesting requirement
Adoption Assistance Program
Flexible Spending Account
Educational Assistance Plan and Professional Membership assistance
Referral Bonus Program – up to $750!

Company

Lumicera Health Services

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If you are applying for a position at Lumicera Health Services, please only apply to jobs listed on https://navitus.com/our-company/careers/ Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being.