Reimbursement Specialist I (12:30-9:00pm CST)

Navitus Health Solutions, LLC • ,

2d • $19 - $22 • Remote

About The Position

Lumicera Health Services is seeking a Reimbursement Specialist I to join their team. This role is responsible for following standard operating procedures to obtain and process manufacturer copay assistance program reimbursement. The Reimbursement Specialist I should have knowledge of billing procedures and work to reduce discrepancies, inaccuracy, and outstanding balances. This role may also assist in contacting patients with an outstanding balance to communicate billing options.

Requirements

• High School Diploma or equivalent GED
• 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

Nice To Haves

• Some college preferred
• CPhT preferred

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
• 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

Benefits

• 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%
• Adoption Assistance Program
• Flexible Spending Account
• Educational Assistance Plan and Professional Membership assistance
• Referral Bonus Program – up to $750!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED