What are the responsibilities and job description for the Insurance Reimbursement Specialist position at Red Chip Enterprises?
Help turn insurance complexities into patient access as an Insurance Reimbursement Specialist. In this role, you’ll help clear the path between coverage, approval, and critical treatment to help make sure patients receive the medications they need without unnecessary delays.
Who We Are
Red Chip Enterprises is the premier provider of management services to Hemophilia Treatment Centers that offer outpatient factor programs to their patients. Red Chip works with 18 HTCs in 11 states and has pharmacy licenses in 50 states.
What You’ll Do
· Verify patient insurance eligibility and benefits
· Validate insurance information & resolving discrepancies
· Review and update insurance information in CPR
· Research payer requirements (online & phone)
· Obtain authorizations and required documentation
· Communicate coverage details and patient responsibility
· Stay current on payer guidelines and changes
· Partner with internal teams to keep orders moving
· Maintain HIPAA compliance and accuracy standards
What You Bring
· High school diploma or equivalent
· Some healthcare and/or insurance knowledge preferred.
· Strong attention to detail and organization
· Strong communication & computer skills
· Ability to multitask in a fast-paced environment with shifting priorities.
Work Environment
· 100% office-based in Sewickley/Wexford area
· Fast-paced, team-oriented setting
· On-site training
Pay: $20.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Application Question(s):
- This position is 100% onsite. Are you able and willing to work onsite full-time?
Education:
- High school or equivalent (Required)
Ability to Commute:
- Sewickley, PA 15143 (Required)
Work Location: In person
Salary : $20