Reimbursement Specialist – Pharmacy

University of Wisconsin Hospitals and Clinics Authority • Middleton, WI

8d • Hybrid

About The Position

Work Schedule : 100% FTE; day shift. Monday – Friday 8:00AM – 4:30PM. This is a hybrid position, which may require up to two (2) days per month on-site. When in the office, you will work at 7974 UW Health Ct in Middleton, WI. Hours may vary based on the operational needs of the department. Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Reimbursement Specialist – Pharmacy to: Manage pharmacy claim billing, including identifying and resolving adjudication rejections to ensure accurate and timely processing. Support pharmacy audit activities by preparing required documentation, reviewing claims, and assisting with compliance efforts. Deliver excellent customer service through clear communication, problem solving, and support to internal and external partners. Demonstrate strong task management and attention to detail, working both collaboratively with a team as well as independently. The ideal candidate would have knowledge of pharmacy billing systems and background with Medicare, Medicaid and commercial insurance claim adjudication. At UW Health, you will have: An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being. Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement. The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions.

Requirements

• High School Diploma or equivalent Required
• 2 years of experience in a healthcare revenue cycle or clinic operations role Required

Nice To Haves

• Associate's Degree in Business, Finance, Health Information Management, or related field Preferred
• 1 year of pharmacy experience in a retail pharmacy setting Preferred
• Epic experience Preferred

Responsibilities

• Manage pharmacy claim billing, including identifying and resolving adjudication rejections to ensure accurate and timely processing.
• Support pharmacy audit activities by preparing required documentation, reviewing claims, and assisting with compliance efforts.
• Deliver excellent customer service through clear communication, problem solving, and support to internal and external partners.
• Demonstrate strong task management and attention to detail, working both collaboratively with a team as well as independently.

Benefits

• An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
• Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
• Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
• Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
• The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees