Due to growth, we are adding a Reimbursement Specialist I to our Lumicera Patient Services department.
Under direction from the Assoc. Manager, Specialty Pharmacy Services, Reimbursement Team Lead, and pharmacists in the Specialty Pharmacy, the Reimbursement Specialist I is primarily responsible for following standard operating procedures to obtain and process manufacturer copay assistance program reimbursement. The Reimbursement Specialist I shall have knowledge of billing procedures and work to reduce discrepancies, inaccuracy, and outstanding balances. The Reimbursement Specialist I may also assist in contacting patients with an outstanding balance to communicate billing options.
Is this you? Find out more below!
ResponsibilitiesHow do I make an impact on my team?
Responsible for ongoing monitoring of claims activity for accuracy and successful submissionResponsible for ensuring that patient billing information is set up appropriately in the pharmacy softwareParticipate, as necessary, in conferences and meetings related to reimbursement/billingResponds to employee/patient/client questions or complaints regarding reimbursement and/or billingWorks with internal teams to review and resolve claim issuesMaintains accurate reference information relating to reimbursement and copay assistanceResponsible for accurate and thorough documentation of information, insurance and prescriptions/orders within the patient profileThe 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 employeeOther duties as assigned QualificationsWhat our team expects from you?
High School Diploma or equivalent GED. Some college preferredCPhT preferredPharmacy technician license or pharmacy technician trainee license is strongly preferred in states requiring pharmacy technician licensureExperience with pharmacy, health plan or clinical insurance claims billing, benefit assessments, billing/claims documentation, or claims auditing is preferredParticipate in, adhere to, and support compliance program objectivesThe ability to consistently interact cooperatively and respectfully with other employeesWhat 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!
We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.
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