Reimbursement Specialist - Days - Remote
Core
Initiates and manages prior authorizations for high-cost medications, coordinates patient assistance programs and copay cards, and arranges medication refills and delivery.
Role type
Reimbursement Specialist / Pharmacy Technician
Builds
Patient access to high-cost medications and billing resolution
Domain
Healthcare / Pharmacy
Deliverable
client delivery
Required skills
Prior authorization processing, patient assistance program coordination, medication refill and transfer management, billing software proficiency, disease state terminology research
Preferred skills
N/A
Technologies
Billing software, spreadsheets, databases, e-mail
Responsibilities
Initiate and follow up on prior authorization requests via phone, fax, or electronic systems; coordinate Patient Assistance Programs and copay cards for patients with high co-pays or no insurance; arrange refills, transfers, and delivery of medications; update patient case management systems; work with nursing and physicians to obtain required documentation.
Seniority
Entry-level to Mid-level, hands-on IC