VCU Health
Reimbursement Specialist - One Capital Square - Remote
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Job Description
- Req#: R39355
Employer Industry: Pharmaceutical Services
Why consider this job opportunity:
- Current certification by the Pharmacy Technician Certification Board (PTCB) required
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Involvement in critical patient assistance programs and high-cost medication approvals
- Engaging role with the potential for diverse responsibilities in pharmacy practice
What to Expect (Job Responsibilities):
- Initiate, follow-up, and process approvals or denials of prior authorizations efficiently via phone, fax, or electronically
- Conduct benefit investigations and coordinate Patient Assistance Programs and copay cards for patients
- Collaborate with nursing and physicians to obtain required documentation for prior authorization 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 prior 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
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
VCU Medical Center is Virginia Commonwealth University's medical campus located in downtown Richmond, Virginia in the Court End neighborhood.
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