Talent.com
Medical Information Replacement, Credit and Reimbursement Specialist

Medical Information Replacement, Credit and Reimbursement Specialist

eTeamTitusville, NJ, United States
6 days ago
Job type
  • Full-time
Job description

Job Tittle : Medical Information Replacement, Credit and Reimbursement Specialist

Location : Titusville, NJ, 08560

Duration : 09 Months

Pay Range : $(62.00 - 64.24) / hr on W2

Job Description :

  • The client is looking for a skilled replacement, credit, and reimbursement Specialist to join their team in Titusville, NJ.
  • The ideal candidate will be responsible for developing and implementing efficient processes for managing credits and reimbursements in compliance with regulatory requirements and government-funded programs, crucial for upcoming product launches.

Responsibilities :

  • Develop and implement efficient processes for managing credits and reimbursements, ensuring alignment with applicable regulatory and government-funded program requirements.
  • Collaborate with cross-functional teams to ensure that the credit and reimbursement strategies support our upcoming product launches.
  • Analyze and understand wholesaler acquisition costs (WAC) to ensure our pricing strategies are competitive and compliant with government policies.
  • Work closely with government agencies to facilitate the clearance of credits and reimbursement claims, maintaining effective communication and relationships.
  • Stay updated on changes in regulations and government policies that impact reimbursement processes and communicate these to relevant stakeholders.
  • Support the development of training materials and educate internal teams on best practices related to credits and reimbursements.
  • Contribute to strategic planning for product launches with a focus on reimbursement and pricing strategies.

    • Qualifications :

  • Bachelor's degree in healthcare, finance, business administration, or a related field.
  • Proven experience working in credit and reimbursement roles, particularly with government agencies.
  • Expertise in wholesaler acquisition costs (WAC) and its implications for product pricing and reimbursement strategies.
  • Prior experience supporting a product launch, particularly in a regulated environment, is highly desirable.
  • Ability to work independently, is detailed oriented, and must have excellent oral / written communication skills.
  • Strong analytical skills with the ability to interpret complex regulations and policies.
  • Excellent communication and interpersonal skills, with the ability to work effectively in a team environment
  • Experience and demonstrate proven technical and computer skills, including standard MS Office Software.
  • Project Management experience preferred.
  • Highly skilled in customer service.
  • Ability to understand root cause of issues and effectively resolve customer inquiries which may involve extensive analysis and research.
  • Demonstrated analytical, problem-solver with solid organizational, and interpersonal skills.
  • Excellent time management, planning and organizational skills.
  • Meet challenging goals and timelines; quickly changes plans when data or actions require it.
  • Able to work in a fast-paced
  • Experience in establishing new work instructions (WI) and / or standard operating procedures (SOP)
  • Familiarity with government-funded programs and their reimbursement processes.
  • Experience in developing and implementing innovative solutions to streamline reimbursement processes.
  • Knowledge of pharmaceutical and healthcare industry trends and challenges.
  • Secondary Responsibilities :
  • Technology and Capabilities Support for GxP systems
  • System Training Administrator
  • UAT and Off-Script testing for GxP systems
  • Project Coordination and Logistical Support o Documentation Review (SOPs, Training, etc.)
  • Training and Processes Support
  • Support training and compliance programs and process meetings / updates.
  • Perform training content reviews, training updates and suggest opportunities for training improvements / content.
  • Sharing knowledge and guidance regarding training and compliance trends.
  • Settlements
  • Process customer requests for product replacements, credits and refunds, including contacting customers (HealthCare Professionals or Consumers) via multiple channels (Genesys).
  • Documenting in CRM system (i.e. Client.com).
  • Administrative Support :
  • Process hardcopy mail.
  • Administrative duties as needed.
  • Preferred Requirements :
  • Knowledge and support of client IT tools including, but not limited to :
  • Client.com / iConnect / Genesys Cloud
  • Knowledge of Contact Center processes and policies o Knowledge of Medical Information processes and policies
  • Knowledge of Pharmaceutical Industry standards and compliance qualifications
  • Structured environment with a team approach.
    • Create a job alert for this search

    Medical Information • Titusville, NJ, United States

    Related jobs
    • Promoted
    Travel MRI Tech - $2,252 to $2,497 per week in Pittsburgh, PA

    Travel MRI Tech - $2,252 to $2,497 per week in Pittsburgh, PA

    AlliedTravelCareersAllentown, Pennsylvania, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified MRI Tech in Pittsburgh, Pennsylvania, 15212!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel MRI Tech - $2,492 to $2,763 per week in Philadelphia, PA

    Travel MRI Tech - $2,492 to $2,763 per week in Philadelphia, PA

    AlliedTravelCareersAllentown, Pennsylvania, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified MRI Tech in Philadelphia, Pennsylvania, 19141!.Ready to start your next travel adventure? LRS Healthcare offers a full benefit...Show moreLast updated: 2 days ago
    • Promoted
    Travel MRI Tech - $2533.33 / Week

    Travel MRI Tech - $2533.33 / Week

    Host HealthcareLanghorne, PA, US
    Full-time
    Host Healthcare is seeking an experienced MRI Tech for an exciting Travel Allied job in Langhorne, PA.Shift : Inquire Start Date : 11 / 16 / 2025 Duration : 13 weeks Pay : $2533. At Host Healthcare, we are ...Show moreLast updated: 17 days ago
    • Promoted
    Travel MRI Technologist - $2,614 per week

    Travel MRI Technologist - $2,614 per week

    MedPro Healthcare Allied StaffingLanghorne, PA, US
    Full-time
    MedPro Healthcare Allied Staffing is seeking a travel MRI Technologist for a travel job in Langhorne, Pennsylvania.Job Description & Requirements. Joint Commission-certified staffing agency, is seek...Show moreLast updated: 4 days ago
    • Promoted
    Travel MRI Tech - $2,468 to $2,736 per week in Du Bois, PA

    Travel MRI Tech - $2,468 to $2,736 per week in Du Bois, PA

    AlliedTravelCareersAllentown, Pennsylvania, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified MRI Tech in Du Bois, Pennsylvania, 15801!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pac...Show moreLast updated: 30+ days ago
    • Promoted
    Travel MRI Tech - $2,506 to $2,778 per week in Philadelphia, PA

    Travel MRI Tech - $2,506 to $2,778 per week in Philadelphia, PA

    AlliedTravelCareersAllentown, Pennsylvania, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified MRI Tech in Philadelphia, Pennsylvania, 19111!.Ready to start your next travel adventure? LRS Healthcare offers a full benefit...Show moreLast updated: 30+ days ago
    • Promoted
    Travel MRI Tech - $2,029 to $2,250 per week in Indiana, PA

    Travel MRI Tech - $2,029 to $2,250 per week in Indiana, PA

    AlliedTravelCareersAllentown, Pennsylvania, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified MRI Tech in Indiana, Pennsylvania, 15701!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pac...Show moreLast updated: 10 days ago
    • Promoted
    Travel MRI Tech - $1,957 to $2,170 per week in Wynnewood, PA

    Travel MRI Tech - $1,957 to $2,170 per week in Wynnewood, PA

    AlliedTravelCareersAllentown, Pennsylvania, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified MRI Tech in Wynnewood, Pennsylvania, 19096!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits p...Show moreLast updated: 24 days ago
    • Promoted
    Travel MRI Tech - $2,321 to $2,574 per week in Pittsburgh, PA

    Travel MRI Tech - $2,321 to $2,574 per week in Pittsburgh, PA

    AlliedTravelCareersAllentown, Pennsylvania, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified MRI Tech in Pittsburgh, Pennsylvania, 15224!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits ...Show moreLast updated: 30+ days ago
    • Promoted
    Consulting Actuary - Medicare Risk Adjustment

    Consulting Actuary - Medicare Risk Adjustment

    Blue Cross and Blue Shield of North CarolinaPhiladelphia, PA, United States
    Full-time
    As a Consulting Actuary at our healthcare organization, you will play a pivotal role in shaping the future of care delivery through data-driven insights and strategic actuarial expertise.You'll lea...Show moreLast updated: 30+ days ago
    • Promoted
    Travel MRI Tech - $2,074 to $2,300 per week in Pittsburgh, PA

    Travel MRI Tech - $2,074 to $2,300 per week in Pittsburgh, PA

    AlliedTravelCareersAllentown, Pennsylvania, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified MRI Tech in Pittsburgh, Pennsylvania, 15213!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel MRI Technologist - $2,530 per week

    Travel MRI Technologist - $2,530 per week

    Jackson HealthProsLanghorne, PA, US
    Full-time +1
    Jackson HealthPros is seeking a travel MRI Technologist for a travel job in Langhorne, Pennsylvania.Job Description & Requirements. Jackson HealthPros is thrilled to welcome an experienced MRI Tech ...Show moreLast updated: 4 days ago
    • Promoted
    Travel MRI Technologist - $2,481 per week

    Travel MRI Technologist - $2,481 per week

    Jackson HealthProsLanghorne, PA, US
    Full-time +1
    Jackson HealthPros is seeking a travel MRI Technologist for a travel job in Langhorne, Pennsylvania.Job Description & Requirements. Jackson HealthPros is thrilled to welcome an experienced MRI Tech ...Show moreLast updated: 1 day ago
    • Promoted
    RN - Telemetry (Interventional)

    RN - Telemetry (Interventional)

    Deborah Heart and Lung CenterBrowns Mills, NJ, US
    Full-time
    Position Summary : Utilizes the nursing process to provide and direct primary nursing care to patients with.Handles multiple demands and tasks simultaneously, demonstrating clinical problem solving ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel MRI Tech - $2601 / Week

    Travel MRI Tech - $2601 / Week

    Cynet HealthLanghorne, PA, US
    Full-time
    Cynet Health is seeking an experienced MRI Tech for an exciting Travel Allied job in Langhorne, PA.Shift : 5x8 hr PMs Start Date : 11 / 16 / 2025 Duration : 13 weeks Pay : $2601 / Week.Ranked #5 Best Trave...Show moreLast updated: 17 days ago
    • Promoted
    Travel MRI Tech - $2496 / Week

    Travel MRI Tech - $2496 / Week

    Ventura MedStaffLanghorne, PA, US
    Full-time
    Ventura MedStaff is seeking an experienced MRI Tech for an exciting Travel Allied job in Langhorne, PA.Shift : 5x8 hr PMs Start Date : 11 / 16 / 2025 Duration : 13 weeks Pay : $2496 / Week.Founded in 2018 ...Show moreLast updated: 17 days ago
    • Promoted
    Senior Fraud Investigations Analyst - Medicare / Medicare Advantage Investigations

    Senior Fraud Investigations Analyst - Medicare / Medicare Advantage Investigations

    Blue Cross and Blue Shield of North CarolinaPhiladelphia, PA, United States
    Full-time
    The Special Investigations Unit (SIU) Investigator is responsible to conduct timely and thorough health care fraud investigations on behalf of the Company. Investigations are confidential and are co...Show moreLast updated: 30+ days ago
    • Promoted
    Travel MRI Tech - $3,102 per week in Flemington, NJ

    Travel MRI Tech - $3,102 per week in Flemington, NJ

    AlliedTravelCareersFlemington, NJ, US
    Full-time
    AlliedTravelCareers is working with Windsor Healthcare Recruitment Group, Inc.MRI Tech in Flemington, New Jersey, 08822!. We are currently seeking a skilled and experienced.Minimum of 4 5 years of...Show moreLast updated: 30+ days ago