Vcuhealth
Reimbursement Specialist - Days - Remote
Richmond, VA
Sponsorship not specifiedDetected 2 days ago
Pharmacy PracticeProblem Solving
About the role
- 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.
- The Reimbursement Specialist arranges refills, transfers, and delivery of medications.
Requirements
- By virtue of societal trust and security explicitly imparted to pharmacies for the control of drugs, candidate/incumbent must have a clean criminal record (i.e. no felony conviction
- Minimum of one (1) year of previous pharmacy practice experience in a similar setting
- Minimum of three (3) years of prior experience with Manufacturers Patient Assistance Programs and prior experience with prescription on-line adjudication
Nice to have
- Must have BOTH a current VA Pharmacy and PTCB License***
- This job will initiate, follow-up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically.
- This role works closely with nursing and physicians in order to obtain required documentation for prior authorization and billing.
- 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 when deemed necessary.
- Associate's Degree in Business or related field from an accredited program
Equal opportunity
- Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change
- EEO Employer/Disabled/Protected Veteran
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This listing is sourced directly from Vcuhealth's careers page and normalized into a canonical job model.