Remote Reimbursement Specialist I - Copay & Claims

Lumicera; Des Moines (IA); Presencial; USD 25 000 - 39 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Top industry health, dental, andVision

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K company match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Pro/Mt

Referral Bonus Program – up to $750

Resumo da oferta

Lumicera Health Services is seeking a Reimbursement Specialist I to join our team. The role focuses on obtaining and processing copay assistance program reimbursements, ensuring accurate billing in the pharmacy software, and supporting internal teams to resolve claim issues.

This position involves communicating with patients regarding billing options, maintaining reference information, and complying with federal and state laws. A strong attention to detail and teamwork are essential for success.

Qualificações

• High School Diploma or equivalent GED. 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
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

Responsabilidades

• 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

Conhecimentos

Attention to detail

Communication skills

Team player

Regulatory compliance

Problem solving

Interpersonal skills

Formação académica

High School Diploma or equivalent GED

Some college

Pharmacy technician license

Descrição da oferta de emprego

Lumicera Health Services is seeking a Reimbursement Specialist I to join our team. The role focuses on obtaining and processing copay assistance program reimbursements, ensuring accurate billing in the pharmacy software, and supporting internal teams to resolve claim issues.

This position involves communicating with patients regarding billing options, maintaining reference information, and complying with federal and state laws. A strong attention to detail and teamwork are essential for success.