Reimbursement Specialist
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Job Description
Reimbursement Specialist I supporting patient reimbursement processes at Lumicera Health Services. Responsible for standard operating procedures in managing copay assistance programs and billing accuracy.
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
- Act in accordance with all applicable federal and state laws and with the highest ethical standards
Requirements:
- 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
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!
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