报销专员I（10:30-7:00pm CST）
Reimbursement Specialist I (10:30-7:00pm CST)
公司
Lumicera公司简介
Lumicera - Lumicera Health Services Powered by Navitus - 创新专科药房解决方案 - Lumicera Health Services 正在重新定义专科药房的“新常态”，通过我们以透明和管理为核心的原则，优化患者的健康状况。在 Lumicera，我们的团队成员在一个鼓励创意和促进多样性的环境中工作。目前的员工必须使用 SSO 登录选项，才能考虑内部机会。我们致力于为所有申请人和员工提供平等的就业机会，并遵守所有适用的反歧视法规，包括与受保护的退伍军人和残疾人相关的规定。所有合格的申请人都将无差别地获得就业考虑，不论其种族、肤色、宗教、性别、国籍或残疾情况。
薪资范围
美元 18.67 - 美元 21.96 / 年
STAR 奖金百分比（风险最大值）
0.00 - 不符合资格
工作时间描述（例如：周一至周五 上午 8 点至下午 5 点）
周一至周五 上午 10:30 至晚上 7:00
远程工作通知
注意：Lumicera 无法为阿拉斯加、康涅狄格州、特拉华州、夏威夷、爱达荷州、堪萨斯州、肯塔基州、缅因州、马萨诸塞州、密西西比州、蒙大拿州、新罕布什尔州、新墨西哥州、北达科他州、罗德岛州、南卡罗来纳州、南达科他州、佛蒙特州、华盛顿特区、西弗吉尼亚州和怀俄明州的居民提供远程工作。
概述
Lumicera Health Services 正在寻找一名报销专员 I 加入我们的团队！
在专科药房服务助理经理、报销团队主管和专科药房药师的指导下，报销专员 I 主要负责按照标准操作流程获取并处理制造商共付援助计划的报销。报销专员 I 应具备计费程序的知识，并努力减少差异、不准确性和未结余额。报销专员 I 还可能协助联系有未结余额的患者，沟通计费选项。
这就是你吗？了解更多 below！
职责
我如何对我的团队产生影响？
- 负责持续监控索赔活动的准确性及成功提交
- 负责确保患者计费信息在药房软件中正确设置
- 必要时参与与报销/计费相关的会议和讨论
- 回应员工/患者/客户关于报销的疑问或投诉
查看英文原文
Company
LumiceraAbout Us
Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. .. Current associates must use SSO login option at to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.Pay Range
USD $18.67 - USD $21.96 /Yr.STAR Bonus % (At Risk Maximum)
0.00 - IneligibleWork Schedule Description (e.g. M-F 8am to 5pm)
M-F 10:30AM-7PMRemote Work Notification
ATTENTION: Lumicera is unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, Idaho, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, Vermont, Washington DC, West Virginia, and Wyoming.Overview
Lumicera Health Services is seeking a Reimbursement Specialist I to join our team!
Under direction from the Assoc. Manager, Specialty Pharmacy Services, Reimbursement Team Lead, and pharmacists in the Specialty Pharmacy, the Reimbursement Specialist I is primarily responsible for following standard operating procedures to obtain and process manufacturer copay assistance program reimbursement. The Reimbursement Specialist I shall have knowledge of billing procedures and work to reduce discrepancies, inaccuracy, and outstanding balances. The Reimbursement Specialist I may also assist in contacting patients with an outstanding balance to communicate billing options.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team?
- 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
Qualifications
What our team expects from you?
- High School Diploma or equivalent GED. 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
- Participate in, adhere to, and support compliance program objectives
- The ability to consistently interact cooperatively and respectfully with other employees
What can you expect from Navitus?
- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750!
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