Remote Reimbursement Specialist I - Copay & Billing Pro

Lumicera; Lansing (MI); Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health insurance

PTO 20 days

Parental leave 4 weeks

9 paid holidays

401K company match 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Pro

Referral Bonus Program - up to $750

Job summary

Lumicera Health Services is seeking a Reimbursement Specialist I to join our team. The role focuses on obtaining and processing manufacturer copay assistance program reimbursement, with responsibilities for billing procedures and reducing discrepancies.

The candidate may contact patients about outstanding balances and discuss billing options. Under supervision, you will monitor claims activity, ensure proper billing setup in the pharmacy software, and collaborate with internal teams to resolve

Qualifications

• Experience with pharmacy, health plan, or clinical insurance claims billing preferred.
• Participation in compliance programs and objectives.
• Ability to interact cooperatively with other employees.

Responsibilities

• Monitor claims activity for accuracy and submission.
• Ensure patient billing information is correctly set up in pharmacy software.
• Participate in reimbursement/billing meetings as needed.
• Respond to questions or complaints regarding reimbursement and/or billing.
• Collaborate with internal teams to resolve claim issues.
• Maintain accurate reference information related to reimbursement and copay assistance.
• Document insurance and prescriptions/orders in patient profiles.
• Maintain compliance with applicable laws and high ethical standards.
• Other duties as assigned.

Skills

Pharmacy claims

Compliance

Teamwork / cooperation

Education

High School Diploma or GED

Some college

Tools

Pharmacy technician license

Job description

Lumicera Health Services is seeking a Reimbursement Specialist I to join our team. The role focuses on obtaining and processing manufacturer copay assistance program reimbursement, with responsibilities for billing procedures and reducing discrepancies.

The candidate may contact patients about outstanding balances and discuss billing options. Under supervision, you will monitor claims activity, ensure proper billing setup in the pharmacy software, and collaborate with internal teams to resolve