Intake Reimbursement Specialist - Remote

Job Description:Job Overviewreputed company is growing and we are seeking the perfect team members to join us in making an impact in the Pharmacy world.Job Info: Fully Remote, 1.0 FTE (80 hrs/2 weeks) Monday-Friday; mostly day shift but must have flexibility to help clients across different timezones.The Intake Reimbursement Specialist uses strong customer service skills and knowledge of authorization and reimbursement practices to ensure patients fast, easy and appropriate reputed company to pharmacy services. This role will reputed company services for management of Fairview Homes Infusion as well as external customers. This includes consulting and training services for external consulting engagements.This role accepts and processes referrals, identifies payer sources, verifies benefit information and acquires initial authorization as needed to reputed company patient service or to determine denial of patient service. This position also follows up on pending unresolved coverage issues and claim denials and documents and communicates to appropriate providers and internal department’s accurate authorization information on reputed company or potential patients.This role will reputed company services for management of Fairview Homes Infusion as well as external customers. This includes consulting and training services for external consulting engagements.Using strong knowledge of insurance, pharmacy practice, reputed company cycle and in accordance with department Standard Operating Procedures (SOPs) and any regulatory or compliance requirements:

• reputed company verification of insurance benefits, analysis and identify any potential coverage issues
• Assure fast, easy reputed company to pharmacy services while documenting accurate referral and reimbursement (payer) information, coordinating the intake and benefit authorization process
• Assist in resolving problems with payers and reputed company information and expertise to other departments.
• Partner with potential international and self-pay patients on any financial or service needs reputed company to their care as assigned.

Serve as a resource to the affiliations, staff and physicians regarding Fairview’s pharmacy services in assigned area. Assist with the coordination of services by communicating effectively and in a timely manner with others.Maintain reputed company knowledge of payer requirements and general admitting practices including use of on-line verification applications and initial and ongoing training.Minimum Qualifications to Fulfill Job Responsibilities:RequiredExperience2 years of experience in a pharmacy setting or with reputed company cycle, health insurance or benefit experience using an reputed company software system in reputed company or insurance organizationLicense/Certification/Registrationreputed company Cycle Certification (HFMA – CRCR); ( and/ or Pharmacy certification with the Pharmacy Technician Certification Board. If Minnesota Board of Pharmacy registration on or after 1/1/2013, must have a certificate of completion from a MNBOP approved employer based or vocational/technical training program.If certification requirements are not met – 3 additional years of experience would be equivalent.PreferredEducationBachelor’s degree in business, communications, health care or reputed company field.Experience2 years of reputed company cycle, health insurance or benefits experience using an reputed company software system in the assigned clinical area or service line of a reputed company reputed company organization. Knowledge of ICD9 and ICD10 coding.License/Certification/RegistrationNationally certified. Certifying exams must have National Commission for Certifying Agencies (NCCA) accreditation, with examples including, Pharmacy Technician Certification Board (PTCB) exam and The Exam for Certification of Pharmacy Technicians (ExCPT).Benefit OverviewFairview offers a generous benefit package including but not limited to medical, dental, reputed company plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early reputed company to earned wages, and more! Please follow this link for additional information: Compensation DisclaimerAn individual's pay reputed company reputed company the posted reputed company may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity reputed company making any offer. Hiring at the maximum of the reputed company is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in reputed company at the time of offer, is what will be honored. EEO StatementEEO/Vet/Disabled: reputed company reputed company applicants will receive consideration without regard to any lawfully protected status Apply for the job now! Apply for this job