Company Info

Virginia Commonwealth University Health System
1250 East Marshall Street
Richmond, VA, United States

Phone: 866-289-5374
Web Site: www.VCUHS.jobs

Company Profile


Reimbursement Spec


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Job ID:

238580

Location:

VA, United States 
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Job Views:

151

Posted:

12.06.2018
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Job Description:

VCU Health System's IM-SPECIALITIES-FACULTY is seeking a full time Reimbursement Specialist. The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. Will initiate, follow-up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically. Carries out benefit investigation and coordinates Patient Assistance Programs and/or copay cards for patients with high co-pays or those without insurance coverage. Works closely with nursing and physicians in order to obtain required documentation for prior authorization and billing. Arranges refills, transfers, and delivery of medications. Updates patient case management system regularly. Ideally, familiar with disease state terminology or willingness to research. Works as a Pharmacy Technician when deemed necessary.


Responsibilities
Identifies equipment problems; various aspects of assisting the pharmacist that don't require a pharmacist's supervision or check.

Qualifications
Required
High school diploma or equivalent
Current certification by the Pharmacy Technician Certification Board (PTCB)
Current licensure with the Virginia State Board of Pharmacy
Minimum of one (1) year previous pharmacy practice experience in a similar setting
Minimum of three (3) years prior experience with Manufacturers Patient Assistance Programs and prior experience with prescription on-line adjudication
Previous work experience using a personal computer and various billing software applications as well as e-mail, spreadsheets, word processing, databases, etc.
Must be available to work all shifts, weekends, holidays, and emergency coverage

Preferred
Associates Degree in Business or related field from an accredited program



Company Info


Virginia Commonwealth University Health System
1250 East Marshall Street
Richmond, VA, United States
Phone: 866-289-5374
Web Site: www.VCUHS.jobs

Reimbursement Spec

col-narrow-left   

Job ID:

238580

Location:

VA, United States 
col-narrow-right   

Job Views:

151

Posted:

12.06.2018
col-wide   

Job Description:

VCU Health System's IM-SPECIALITIES-FACULTY is seeking a full time Reimbursement Specialist. The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. Will initiate, follow-up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically. Carries out benefit investigation and coordinates Patient Assistance Programs and/or copay cards for patients with high co-pays or those without insurance coverage. Works closely with nursing and physicians in order to obtain required documentation for prior authorization and billing. Arranges refills, transfers, and delivery of medications. Updates patient case management system regularly. Ideally, familiar with disease state terminology or willingness to research. Works as a Pharmacy Technician when deemed necessary.


Responsibilities
Identifies equipment problems; various aspects of assisting the pharmacist that don't require a pharmacist's supervision or check.

Qualifications
Required
High school diploma or equivalent
Current certification by the Pharmacy Technician Certification Board (PTCB)
Current licensure with the Virginia State Board of Pharmacy
Minimum of one (1) year previous pharmacy practice experience in a similar setting
Minimum of three (3) years prior experience with Manufacturers Patient Assistance Programs and prior experience with prescription on-line adjudication
Previous work experience using a personal computer and various billing software applications as well as e-mail, spreadsheets, word processing, databases, etc.
Must be available to work all shifts, weekends, holidays, and emergency coverage

Preferred
Associates Degree in Business or related field from an accredited program