Pharmacy Reimbursement Expert
3 weeks ago
URGENT
MID NOVEMBER START DATE
As a Pharmacy Reimbursement Expert at RemX | The Workforce Experts, you will be responsible for expertly navigating Retail Pharmacy and Specialty pharmacy drug Prior Authorizations, Appeals, and working denials. With experience in territory management, training, and educating provider office staff, you will be a valuable asset to our team.
The ideal candidate will:
- Bring territory experience, including experience working without access to PHI
- Truly care about the patients and work through all roadblocks and barriers to get the medications approved and paid for
Key responsibilities include:
- RETAIL Pharmacy expertise, as well as, Specialty Drug Prior authorizations through portals, benefits investigations, working appeals and denials
- LOCAL PAYOR LANDSCAPE KNOWLEDGE: Medicare & Medicaid
- Experience in escalations, education, Commercial co-pay card approvals, Patient Assistance program approvals, foundation coverage, guidelines, and reimbursement
Staying up-to-date is crucial:
- Keeping up with changes and updates to drug programs, new FDA indications, miscellaneous J-codes, and payer policy changes that impact reimbursement
Join our team of experts and take your career to the next level
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