Clinical Reimbursement Specialist

2 weeks ago


Toulouges, Occitanie, United States CB Partners, LLC Full time
Overview

We are seeking a skilled Clinical Reimbursement Specialist to join our team at CB Partners, LLC. This is an excellent opportunity for a motivated individual to make a meaningful contribution in the healthcare industry.

Job Description

The Clinical Reimbursement Specialist will be responsible for providing exceptional customer service and case coordination to plan members. They will assist in planning access to financial assistance programs, communicate with pharmacies, healthcare providers, and financial assistance entities to confirm shipment or receipt of medication, and gather information from PBMs and payers as needed.

Responsibilities:
  • Ensure that plan members meet eligibility requirements
  • Serve as primary point of contact for plan members
  • Act as advocate and enhance relationships between plan members, healthcare providers, and patient assistance program representatives
  • Document all interactions in CRM software in a timely manner
  • Provide exceptional customer service, resolve requests in a timely manner, and escalate complaints as necessary
  • Review pending activities and customer requests to ensure excellent customer service and experience
  • Demonstrate proficiency in company plan member database, including data elements, case statuses, documentation requirements, and metrics
  • Research available financial assistance programs for specialty drugs prescribed for active members
  • Coordinate access to patient assistance programs and provide assistance to plan members and physician staff to complete forms and applications
Requirements:
  • 1+ years of customer service experience, preferably in healthcare reimbursement and pharmaceuticals
  • Excellent written and oral communication skills
  • Ability to multitask and handle consistent workflow
  • Pharmacy Technicians encouraged to apply
  • Insurance verification experience preferred
Salary Range

$65,000 - $80,000 per year, based on location and experience.



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