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Reimbursement Specialist - One Capital Square - Remote
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Job Description
- Req#: R39355
Employer Industry: Pharmacy Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Current certification and licensure required for continued employment
- Supportive and collaborative work environment
- Chance to make a positive impact on patient care and medication access
- Work in a fast-paced environment with diverse responsibilities
What to Expect (Job Responsibilities):
- Initiate and follow up on prior authorizations for high-cost medications via phone, fax, or electronically
- Conduct benefit investigations and coordinate Patient Assistance Programs and copay cards for eligible patients
- Collaborate with nursing and physicians to obtain required documentation for prior authorizations and billing
- Arrange refills, transfers, and delivery of medications while updating the patient case management system
- Assist in pharmacy technician duties as needed
What is Required (Qualifications):
- Current certification by the Pharmacy Technician Certification Board (PTCB)
- Current licensure with the Virginia State Board of Pharmacy
- Minimum of one (1) year of previous pharmacy practice experience in a similar setting
- Minimum of three (3) years of experience with Manufacturers Patient Assistance Programs and prescription online adjudication
- High School Diploma or equivalent
How to Stand Out (Preferred Qualifications):
- Associate's Degree in Business or a related field from an accredited program
#PharmacyServices #PatientCare #CareerGrowth #HealthcareProfessionals #PharmacyTechnician
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