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Access and Reimbursement Pharmacy Specialist - Remote
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Job Description
- Req#: 2301464
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Hourly pay ranging from $20.00 to $35.72 based on full-time employment
- Comprehensive benefits package including equity stock purchase and 401k contribution
- Opportunity for career advancement and growth within the organization
- Flexibility to work remotely from anywhere within the U.S.
- Supportive and inclusive work culture dedicated to health optimization
- Chance to make a significant impact on patient care and access to therapies
What to Expect (Job Responsibilities):
- Conduct benefit verification and initiate pharmacy claims to ensure timely patient access to prescribed therapies
- Manage the full lifecycle of pharmacy prior authorizations and appeals
- Collaborate with licensed healthcare professionals for necessary documentation related to authorizations and financial assistance
- Perform electronic benefit verifications and document case details in CRM systems
- Provide clear communication regarding benefit decisions and next steps to patients and providers
What is Required (Qualifications):
- Valid license, registration, and/or certification to practice as a Pharmacy Technician in good standing
- Minimum of 2 years of hands-on experience in Pharmacy Claims Processing, Benefit Verification, or Prior Authorization processing
- Solid understanding of prescription insurance coverage requirements and Medicare, Medicaid, and commercial insurance plan structures
- Exceptional attention to detail and ability to follow complex instructions accurately
- Strong verbal and written communication skills
How to Stand Out (Preferred Qualifications):
- Experience in Specialty Pharmacy
- Previous work history in a matrixed environment or call center operations
- Residing within the Mountain or Pacific Time Zones
#HealthcareServices #Pharmacy #RemoteWork #CareerGrowth #PatientCare
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