Reimbursement Specialist I (10:30-7:00pm CST)
About The Position
Lumicera Health Services is seeking a Reimbursement Specialist I to join its team. Under the direction of the Associate Manager, Specialty Pharmacy Services, Reimbursement Team Lead, and specialty pharmacy pharmacists, this role follows standard operating procedures to obtain and process manufacturer copay assistance program reimbursements. The specialist uses knowledge of billing procedures to reduce discrepancies, inaccuracies, and outstanding balances, and may contact patients with outstanding balances to explain billing options. The position is remote for residents of the states listed in the posting and follows a Monday–Friday schedule from 10:30 a.m. to 7:00 p.m. Central Time.
Requirements
- High school diploma or equivalent GED.
- Participate in, adhere to, and support compliance program objectives.
- Consistently interact cooperatively and respectfully with other employees.
Nice To Haves
- Some college.
- Certified Pharmacy Technician (CPhT) certification.
- Pharmacy technician license or pharmacy technician trainee license in states requiring pharmacy technician licensure.
- Experience with pharmacy, health plan, or clinical insurance claims billing, benefit assessments, billing or claims documentation, or claims auditing.
Responsibilities
- Monitor claims activity on an ongoing basis for accuracy and successful submission.
- Ensure patient billing information is set up appropriately in the pharmacy software.
- Participate, as necessary, in conferences and meetings related to reimbursement or billing.
- Respond to employee, patient, and client questions or complaints regarding reimbursement or billing.
- Work with internal teams to review and resolve claim issues.
- Maintain accurate reference information related to reimbursement and copay assistance.
- Document information, insurance, and prescriptions or orders accurately and thoroughly in patient profiles.
- Act in accordance with applicable federal and state laws and the company's ethical standards.
- Perform other duties as assigned.
Benefits
- Health, dental, and vision insurance.
- 20 days of paid time off.
- Four weeks of paid parental leave.
- Nine paid holidays.
- 401(k) company match of up to 5%, with no vesting requirement.
- Adoption Assistance Program.
- Flexible Spending Account.
- Educational Assistance Plan and professional membership assistance.
- Referral Bonus Program of up to $750.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
