Pharmacy Reimbursement Specialist – Patient Aid Programs

UH Pavilion; San Antonio (TX); On-site; USD 42,000 - 60,000; Full time

Job summary

UH Pavilion is seeking a Pharmacy Technician to enroll indigent and under-insured patients into reimbursement programs, monitor ongoing eligibility, and document drug shipments in a computerized system. The role supports resolution of insurance denials and coordinates care with pharmacy and medical staff.

Responsibilities include maintaining patient enrollment databases, interviewing patients, and addressing third-party billing and eligibility issues, with a focus on independent project

Qualifications

• Texas State Board of Pharmacy registration is required.
• Certified Pharmacy Technician (CPhT) is recommended.
• Three years experience in a medical or pharmacology field including project coordination, database/spreadsheet development and management, and/or application programming; processing and overseeing medical insurance billing and reimbursement cost capture.

Responsibilities

• Enroll indigent and under-insured patients into drug assistance reimbursement programs.
• Monitor eligibility status and document drug shipments in computerized tracking system.
• Resolve insurance denial referrals and assist with third-party billing and eligibility issues.
• Coordinate information for patients enrolled in assistance programs and maintain databases.
• Conduct patient interviews and communicate reimbursement denial potential to patients and staff.
• Review outpatient third-party rejections and assist patients in resolving problems.

Skills

Interpersonal communication

Independent working

Analytical skills

Problem solving

Database management

Education

Texas State Board of Pharmacy registration

Certified Pharmacy Technician (CPhT) recommended

3 years medical/pharmacology experience

Job description

UH Pavilion is seeking a Pharmacy Technician to enroll indigent and under-insured patients into reimbursement programs, monitor ongoing eligibility, and document drug shipments in a computerized system. The role supports resolution of insurance denials and coordinates care with pharmacy and medical staff.

Responsibilities include maintaining patient enrollment databases, interviewing patients, and addressing third-party billing and eligibility issues, with a focus on independent project