VCU Health System - MCV Hospitals

Reimbursement Spec (44591365)
Location: Richmond, Virginia - United States
Posted: 2/22/2018

Reimbursement Spec

Full time 7: Rotating High school diploma or equivalent is required

VCU Health

System's Inpatient Pharmacy 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. ResponsibilitiesIdentifies equipment problems; various aspects of assisting

the pharmacist that don't require a pharmacist's supervision or check. Qualifications RequiredHigh school diploma or equivalent Current certification by the Pharmacy Technician

Certification Board (PTCB)Current licensure with the Virginia State Board of PharmacyBy virtue of societal trust and security explicitly imparted

to pharmacies for the control of drugs, candidate/incumbent must have a clean

criminal record (i.e. no felony conviction; no drug or pharmacy related

convictions, including misdemeanors); no denial, suspension, revocation, or

restriction of registration or licensure by any State Board of PharmacyMinimum of one (1) year previous pharmacy practice experience

in a similar settingMinimum of three (3) years prior experience with

Manufacturers Patient Assistance Programs and prior experience with

prescription on-line adjudicationPrevious 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. PreferredAssociate's Degree in Business or related field from an

accredited program

Additional Requirments / Information

Job Capacity:Employee (full-time)
Minimum Education Level:See Job Description
Visa Sponsorship: No
Related Industries:Pharmacy Technician
No Profile Available

*VCU Health System - MCV Hospitals has requested along with applying online at CampusCareerCenter.com you also fill out additional information on their site. Please click 'Apply Online' to begin the application process.

* If you would like to find out more about this position or this particular hospital, please click on the 'Information' button. We realize that you may need further information even if you are not ready to apply for a job at this time.

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