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POSITION SUMMARY/RESPONSIBILITIES
Identifies and enrolls indigent and under-insured patients into drug assistance reimbursement programs which provide drug replacement and reimbursement compensation. Monitors continued eligibility status and documents drug shipments received in computerized tracking system. Serves as a resource in facilitating resolution of insurance denial referrals. Communicates effectively with pharmacy, hospital administration, medical staff, patients and personnel in the patient assistance programs using verbal and written interpersonal communication skills. Requires ability to work independently and coordinate assigned projects efficiently. Effectively utilizes problem-solving ability, significant interpersonal contact and concentration abilities, analytical skills and in depth knowledge of computer software. Coordinates all information regarding patients enrolled in assistance programs for drug therapies using various computer software programs. Creates, expand and maintains computerized databases to support patient enrollment in assistance programs and tracks case specific assistance provided in response to reimbursement denials. Conducts patient interviews and conveys reimbursement denial potential to patient and medical staff. Reviews all outpatient 3rd party rejections and assists the patient in resolving the problem. Coordinates 3rd party billing, problems with eligibility, rejections, etc. with the Outpatient Pharmacy Supervisor and the Pharmacy Billing Section.
EDUCATION/EXPERIENCE
Texas State Board of Pharmacy registration required. National Certification as a Certified Pharmacy Technician (CPhT) is recommended. Three years experience in a medical or pharmacology related field to include project coordination; database/spreadsheet development and management; and/or application programming; processing and overseeing medical insurance billing and reimbursement cost capture. Must have demonstrated independent judgment.
Full Time
$40k-49k (estimate)
04/24/2024
05/11/2024
uhsystem.com
SHREVEPORT, LA
1,000 - 3,000
2013
Private
STEPHEN SKRIVANOS
$200M - $500M
Hospital
University Health specializes in surgeries, life-saving care and complex treatments.
The following is the career advancement route for Reimbursement Specialist positions, which can be used as a reference in future career path planning. As a Reimbursement Specialist, it can be promoted into senior positions as a Staff Nurse - RN, Sr. - Medical Management that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Reimbursement Specialist. You can explore the career advancement for a Reimbursement Specialist below and select your interested title to get hiring information.
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Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Reimbursement Specialist job description and responsibilities
Reimbursement specialists utilize reference materials and medical coding knowledge to address claims.
04/22/2022: Frankfort, KY
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Career tips from people on Reimbursement Specialist jobs
The career path for a reimbursement specialist starts by first obtaining a high school diploma or GED.
05/26/2022: Boca Raton, FL
Educational prerequisites for reimbursement specialists vary, from a minimum of a high school diploma to a bachelor’s degree.
04/27/2022: New York, NY
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