Reimbursement Specialist

🔥 2 hours ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $19 - $30 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

VCU Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

VCU Health is an academic medical center dedicated to advancing medicine and improving community health. With over 800 physicians across 200 clinical specialties, it offers a wide range of services including cancer care, heart and vascular services, neurosciences, orthopaedics, pediatrics, emergency care, and telehealth. VCU Health integrates cutting-edge technology and clinical expertise to make medical advancements a reality. It operates various hospitals and comprehensive care centers, including the VCU Medical Center in Downtown Richmond and the Children's Hospital of Richmond. VCU Health also emphasizes research and clinical trials to push the boundaries of what's possible in medicine.

📋 Description

• 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

🎯 Requirements

• Must have both a current Virginia Pharmacy license and PTCB certification • Current certification by the Pharmacy Technician Certification Board (PTCB) • Current licensure with the Virginia State Board of Pharmacy • Clean criminal record with no felony conviction or drug/pharmacy-related convictions, including misdemeanors • No denial, suspension, revocation, or restriction of registration or licensure by any State Board of Pharmacy • Minimum of one (1) year of previous pharmacy practice experience in a similar setting • Minimum of three (3) years of prior experience with Manufacturers Patient Assistance Programs • Prior experience with prescription online adjudication • Previous experience using a personal computer, billing software applications, email, spreadsheets, word processing, databases, and similar tools • High School Diploma or equivalent • Able to work all shifts, weekends, holidays, and emergency coverage • Physical ability to lift less than 20 lbs. • Ability to perform prolonged standing and sitting, frequent bending, walking, climbing, overhead/extensive/repetitive reaching, and repetitive motion • Strong recall, reasoning, problem solving, hearing, clear speaking, legible writing, reading, and logical thinking • Ability to work in a fast-paced, steady-paced, noisy environment; handle multiple priorities and frequent/intense customer interactions; and adapt to frequent change