Reimbursement Specialist

Job Description

Job Description

Experience in patient services or healthcare customer support preferred.

Must have reliable transportation and the ability to work onsite in Cary, NC.

Must be flexible with shift availability (any shift).

Strong soft skills such as professionalism, communication, and attention to detail are essential.

There are a few perks that make this opportunity more attractive :

Contractors are included in team meetings and engagement activities.

Cross-training may be available based on performance.

Supportive leadership and a positive team culture.

Hands-on learning and peer support are encouraged.

Describe the day-to-day activities / responsibilities of this position :

• Recognize and effectively communicate about insurance types and when each type would be utilized
• Enter all communication and documentation in the Biologics’ MIS
• Assist with projects, such as yearly reverification
• Communicate with patients to gather appropriate insurance information
• Triage prescriptions to preferred pharmacies or HUB providers when Biologics is unable to serve the patient
• Appropriately process pharmacy claims in Biologics’ MIS
• Recognize and understand pharmacy claim responses
• Manage inbound calls from patients, clients, physicians, and payors regarding patient updates and services provided
• Identify and report adverse events (AEs) and product complaints (PCs) to clinicians
• Manage and reply to internal written communications and requests received via chat or email
• Other related duties as assigned by Supervisor

Are there any particular traits your ideal candidate should have? :

Works independently, must be able to work in a fast-paced environment

Work Schedule : Any shift 8am-8pm Monday- Friday

Is this Remote / Hybrid / Onsite? : Onsite