Reimbursement Specialist

• Improve revenue collection for high-cost medications requiring prior authorization
• Initiate, follow up on, and process prior authorization approvals and denials via phone, fax, or electronic systems
• Conduct benefit investigations
• Coordinate Patient Assistance Programs and copay cards for patients with high copays or no insurance coverage
• Work closely with nursing and physicians to obtain documentation for prior authorization and billing
• Arrange medication refills, transfers, and deliveries
• Regularly update the patient case management system
• Research disease-state terminology as needed
• Work as a Pharmacy Technician when necessary
• Identify equipment problems
• Assist the pharmacist with tasks that do not require pharmacist supervision or checking

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