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Reimbursement Coordinator

Company: Alphascript Pharmacy
Location: San Carlos
Posted on: October 13, 2019

Job Description:

Job Title: Reimbursement Coordinator Reports To: Pharmacy Manager FLSA Status: Exempt Status: Full-Time Location: Alphascript, Inc.
Do you pay close attention to details. Do you do your research and have the patience and determination to resolve any problems that come your way. Are you looking for meaningful work that plays to these strengths.
We've been looking for someone like you.
At Alphascript, we provide compassionate care and clinical expertise to patients with specialized conditions like HIV, organ transplant and more.
Our patients are often facing a surprising and difficult diagnosis. It's important that they receive their prescribed medications as quickly as possible. That's where a reimbursement coordinator comes in. The reimbursement coordinator is an integral part of the pharmacy team, ensuring all necessary information is obtained so that our patients can start their treatment.
Every day is different, but your primary duties and responsibilities will include:


  • Communicating with prescribers, nurses and office personnel in order to:

    • Obtain missing insurance information to complete a benefits investigation
    • Obtain and review clinical information (like a diagnosis code or lab test result) to meet insurance authorization requirements


    • Working with insurance companies to initiate prior authorizations via phone, email or online; completing appropriate follow up
    • Navigating payer websites and portals in order to research coverage criteria and obtain authorization forms
    • Maintaining accurate documentation of your communications with patients and their providers
    • Identifying and resolving patient billing issues
    • Researching and facilitating patient enrollment in manufacturer copay programs or foundation/grant programs
    • Answering questions from patients, insurance companies, providers and your colleagues regarding billing
    • Assisting and preparing documentation for audits when needed
    • Maintaining and monitoring AR balances
    • Processing prescriptions through pharmacy software
    • Maintaining knowledge of new and emerging therapies and their insurance requirements

      Education/Experience
      High school diploma/GED required; Bachelor's degree strongly preferred.
      Required Qualifications

      • Must have at least two years of pharmacy technician and/or pharmacy billing experience
      • Excellent oral and written communication
      • Outgoing and able to seek out answers to ensure accuracy
      • Strong math and computer skills
      • Proficiency with Microsoft Office, particularly Excel, Outlook and Word
      • Ability to work and produce results under pressure
      • Prior experience with third-party billing
      • Clear and active pharmacy technician license

        Physical Demands

        • Repetitive use of hands and fingers (e.g. computer keyboards, filing, etc.)
        • Standing, sitting or walking for periods of time
        • Normal range of hearing and vision to perform work and communication

          Working at Alphascript
          We're a growing team driven by a culture of passion and a commitment to excellence. You'll work in a modern office alongside dedicated colleagues who work to consistently provide a superior patient experience. We offer a variety of competitive benefits like fully paid health insurance premiums, 401k matching and financial planning assistance, ongoing training and more.

Keywords: Alphascript Pharmacy, San Francisco , Reimbursement Coordinator, Other , San Carlos, California

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