Reimbursement Specialist I (10:30-7:00pm CST)
navitus health solutionsWisconsin Rapids (WI)
Reimbursement Specialist I (10:30-7:00pm CST)
Posted yesterday
navitus health solutionsWisconsin Rapids (WI)
SENIORITY
Senior
SALARY
$18.67
About the role
Job Title Reimbursement Specialist ICompanyLumiceraAbout UsLumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap. Pay RangeUSD $18.67 - USD $21.96 /Yr. Work Schedule DescriptionM-F 10:30AM-7PMRemote Work Notification Lumicera is only able to offer remote work to residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin
Overview:
Lumicera Health Services is seeking a Reimbursement Specialist I to join our team!
Responsibilities:
- How do I make an impact on my team?
- 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
Qualifications:
- What our team expects from you?
- High School Diploma or equivalent GED. Some college preferredCPhT 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
- What can you expect from Navitus?
- Top of the industry benefits for Health, Dental, and Vision insurance20 days paid time off4 weeks paid parental leave9 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!Location
- Remote, US
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