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Reimbursement Specialist I (10:30-7:00pm CST) at Lumicera in Nashville, Tennessee

$750 per month

disABLEDperson Inc

Reimbursement Specialist ILumicera Health Services is seeking a Reimbursement Specialist I to join our team!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 assignedQualificationsWhat 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 Navitus? Top of the industry benefits for Health, Dental, and Vision insurance20 days paid time off4 weeks paid parental leave9 paid holidays401K company match of up to 5% - No vesting requirementAdoption Assistance ProgramFlexible Spending AccountEducational Assistance Plan and Professional Membership assistanceReferral Bonus Program – up to $750!Navitus Health Solutions is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law. Equal employment opportunity, including veterans and individuals with disabilities.

Vacancy posted 16 hours ago
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