Navitus Health Solutions · 1 day ago

Reimbursement Specialist I

United States

Full-time

Remote

Entry Level

$18/hr - $21/hr

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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

Qualification

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Pharmacy technician licenseCPhT certificationClaims billing experienceBenefit assessmentsClaims auditingGEDSoft skills

Required

High School Diploma or equivalent GED

Participate in, adhere to, and support compliance program objectives

The ability to consistently interact cooperatively and respectfully with other employees

Preferred

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