Reimbursement Specialist II
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- Location
- United States or Arizona or Alabama or Arkansas or California or Colorado or Florida or Georgia or Illinois or Indiana or Iowa or Louisiana or Maryland or Michigan or Minnesota or Missouri or Nebraska or Nevada or New Jersey or New York or North Carolina or Ohio or Oklahoma or Oregon or Pennsylvania or Tennessee or Texas or Utah or Virginia or Washington or Wisconsin
- Work type
- Remote
- Compensation
- $41,995 - $49,400/yr
- Posted
- 3 weeks ago
- Apply on
- employees-navitus.icims.com
About this role
Due to growth, we are adding a Reimbursement Specialist II to our team.
Under direction from the Assoc. Manager, Specialty Pharmacy Services, Reimbursement Team Lead, and pharmacists in the Specialty Pharmacy, the Reimbursement Specialist II is primarily responsible for following standard operating procedures to monitor, review and investigate claim submissions and responses. The Reimbursement Specialist II shall have knowledge of billing procedures and work to reduce discrepancies, inaccuracy and outstanding balances. The Reimbursement II shall assist in creating work instructions and training other members of the Reimbursement team.
Is this you? Find out more below!
How do I make an impact on my team?
- 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
- Responds to employee/patient/client questions or complaints regarding reimbursement and/or billing
- Responsible for having knowledge and understanding of complex claims issues to be able to review, resolve and train others how to identify
- Responsible for training other staff on vendor programs and claims discrepancy reports
- Works with internal teams to review and resolve claim issues
- Maintains accurate reference information relating to reimbursement and copay assistance
- Other duties as assigned
What our team expects from you?
- High school diploma or GED
- 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
- Participate in, adhere to, and support compliance program objectives
- The ability to consistently interact cooperatively and respectfully with other employees
What can you expect from Lumicera?
- 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!
#LI-Remote