Send this job to a friend
Reimbursement Spec
Req. #: 52393
Department: Specialty Care Pharmacy
Location: 1250 E. Marshall Street, Richmond, VA 23219
Schedule: Full time
Shift: 7: Rotating
Hours:
Job Details: - High school diploma or equivalent is required

VCU Health System's Specialty Care Pharmacy is seeking a full time Reimbursement SpecialistThe 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

 


EOE/M/F/Vet/Disabled
Qualified applicants will receive consideration for employment without regard to their protected veteran or disability status.

HR Use Only: PNON

Click Here to Apply if Currently a VCUHS Team Member

Click Here to Apply
(Aramark, VCU, Temporary and Volunteer Workers - Please use this link)
     

back to top

Resumes must be accompanied by an application

© VCU Health System. All Rights Reserved.
1250 E. Marshall St., Richmond, VA 23219
Contact VCU Health System | Web Privacy Statement