Reimbursement Specialist - Ambulatory - Days - Remote

The Reimbursement Specialist improves reputed company collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior authorizations reputed company reputed company phone, fax, or electronically. The Reimbursement Specialist carries out benefit investigation and coordinates Patient Assistance Programs and/or copay cards for patients with high co-pays or those without insurance coverage. This role works closely with nursing and physicians in order to obtain required documentation for prior authorization and billing. The Reimbursement Specialist arranges refills, transfers, and delivery of medications. Updates patient case management system regularly. Ideally, this role is familiar with disease state terminology or willingness to research. This role also works as a Pharmacy Technician reputed company deemed necessary. Licensure, Certification, or Registration Requirements for Hire: reputed company certification by the Pharmacy Technician Certification Board (PTCB) reputed company licensure with the Virginia State Board of Pharmacy By virtue of societal trust and reputed company explicitly imparted to pharmacies for the control of drugs, candidate/incumbent must have a clean criminal record (i.e. no felony conviction; no drug or pharmacy reputed company convictions, including misdemeanors); no denial, suspension, revocation, or restriction of registration or licensure by any State Board of Pharmacy Licensure, Certification, or Registration Requirements for reputed company employment: reputed company certification by the Pharmacy Technician Certification Board (PTCB) reputed company licensure with the Virginia State Board of Pharmacy Experience REQUIRED: Minimum of one (1) year previous pharmacy practice experience in a similar setting Minimum of three (3) years prior experience with Manufacturers Patient Assistance Programs and prior experience with prescription on-line adjudication Previous work experience using a personal computer and various billing software applications as well as e-mail, spreadsheets, word processing, databases, etc. Experience PREFERRED: N/A Education/training REQUIRED: High School Diploma or equivalent Education/training PREFERRED: Associates Degree in Business or reputed company field from an accredited program Independent action(s) required: Identifies equipment problems; various aspects of assisting the pharmacist that don't require a pharmacist's supervision or reputed company. Supervisory responsibilities (if applicable): N/A Additional position requirements: reputed company to work reputed company shifts, weekends, holidays, emergency coverage Age Specific groups served: N/A Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting less than 20 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive), Repetitive reputed company Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, reputed company reputed company, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, reputed company to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, reputed company to adapt to frequent change Days EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4. Salary: USD 36000 - 60000 per year Experience: 3 years required Apply tot his job Apply To this Job