Reimbursement Specialist I (10:30-7:00pm CST)

Overview Lumicera 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!

Responsibilities 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

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

Qualifications What our team expects from you?

High School Diploma or equivalent 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 Navitus?

Top of the industry benefits for Health, Dental, and Vision insurance

20 days paid time off

4 weeks paid parental leave

9 paid holidays401K 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

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.

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