Reimbursement Specialist
hace 2 días
POSITION SUMMARY/RESPONSIBILITIES Identifies and enrolls indigent and under-insured patients into drug assistance reimbursement programs which provide drug replacement and reimbursement compensation. Monitors continued eligibility status and documents drug shipments received in computerized tracking system. Serves as a resource in facilitating resolution of insurance denial referrals. Communicates effectively with pharmacy, hospital administration, medical staff, patients and personnel in the patient assistance programs using verbal and written interpersonal communication skills. Requires ability to work independently and coordinate assigned projects efficiently. Effectively utilizes problem solving ability, significant interpersonal contact and concentration abilities, analytical skills and in depth knowledge of computer software. Coordinates all information regarding patients enrolled in assistance programs for drug therapies using various computer software programs. Creates, expand and maintains computerized databases to support patient enrollment in assistance programs and tracks case specific assistance provided in response to reimbursement denials. Conducts patient interviews and conveys reimbursement denial potential to patient and medical staff. Reviews all outpatient 3rd party rejections and assists the patient in resolving the problem. Coordinates 3rd party billing, problems with eligibility, rejections, etc with the Outpatient Pharmacy Supervisor and the Pharmacy Billing Section. EDUCATION/EXPERIENCE Texas State Board of Pharmacy registration required. National Certification as a Certified Pharmacy Technician (CPhT) is recommended. Three years experience in a medical or pharmacology related field to include project coordination; database/spreadsheet development and management; and/or application programming; processing and overseeing medical insurance billing and reimbursement cost capture is preferred. Must have demonstrated independent judgment #J-18808-Ljbffr
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Reimbursement Specialist
hace 3 semanas
San Antonio, Chile University Health System A tiempo completoPOSITION SUMMARY/RESPONSIBILITIES Identifies and enrolls indigent and under-insured patients into drug assistance reimbursement programs which provide drug replacement and reimbursement compensation.Monitors contain eligibility status and document drug shipments received through a computerized tracking system.Serves as a resource in facilitating resolution...
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Insurance Reimbursement Specialist
hace 2 días
San Antonio, Chile University Health System A tiempo completoA prominent healthcare provider in San Antonio, Chile, seeks a qualified individual for a role focused on reimbursement and insurance claims. Responsibilities include reviewing accounts for accuracy and contacting patients and payors to secure payments. Candidates should have a high school diploma and at least 1 year of hospital experience with an...
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Drug Assistance
hace 2 días
San Antonio, Chile University Health System A tiempo completoA healthcare organization in San Antonio, Chile, is seeking a Pharmacy Technician to enroll patients in drug assistance programs and manage insurance denials. The role requires strong communication skills, analytical abilities, and at least 3 years of experience in the medical field. Applicants must have Texas State Board of Pharmacy registration and...
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Supporting Documentation Specialist
hace 2 días
San Antonio, Chile Craig HomeCare A tiempo completoAt Pediatric Home Service, we help medically complex kids live their best lives, at home, with their families. As a national leader in pediatric home care, we offer a full range of services including infusion, clinical nutrition, respiratory therapy, PPEC, private duty nursing, and DME. Whether you're caring for patients or supporting behind the scenes,...
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Financial Access Specialist
hace 2 días
San Antonio, Chile University Health System A tiempo completoResponsibilities Secures and obtains accurate patient data for complete financial clearance. Communicates with patients to determine accurate funding source information. Determines benefit level, coordination of benefits, coinsurance amounts for hospital and clinic services using knowledge of insurance verification. Performs pre-authorization and financial...
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Marketing Specialist
hace 4 semanas
San Antonio, Chile Terracon A tiempo completoJob Description General Responsibilities: Provide support to or manage the marketing activities of an engineering consulting office or group of offices (division). Develop or maintain marketing materials and programs including but not limited to proposals, advertising, press releases, direct email/mail, social media, conference and tradeshow strategy,...
