[Remote] Reimbursement Specialist I
Note: The job is a remote job and is open to candidates in USA. Lumicera Health Services is an innovative specialty pharmacy focused on optimizing patient well-being. The Reimbursement Specialist I is responsible for processing manufacturer copay assistance program reimbursements and ensuring accurate billing procedures to reduce discrepancies and outstanding balances.
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
Skills
- High School Diploma or equivalent GED
- The ability to consistently interact cooperatively and respectfully with other employees
- 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
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!
Company Overview