Intake/Reimbursement Specialist
Found in: Lensa US P 2 C2 - 2 weeks ago
**Overview** We at MHealth Fairview are looking for you to join our amazing team This benefits eligible position is a **1.0FTE(80 hours/2 weeks) on the day shift** As a member of the pharmacy team, the Reimbursement Specialist uses strong customer service skills and knowledge of authorization and reimbursement practices to ensure patients fast, easy and appropriate access to pharmacy services. The Reimbursement Specialist accepts and processes referrals, identifies payer sources, verifies benefit information and acquires initial authorization as needed to begin patient service or to determine denial of patient service. This position also follows up on pending unresolved coverage issues and claim denials and documents and communicates to appropriate providers and internal department’s accurate authorization information on current or potential patients. This position may also complete the patient intake process, schedule patient appointments and partner with care team and external resources to ensure efficient patient flow as assigned **Responsibilities Job Description** Using strong knowledge of insurance, pharmacy practice, revenue cycle and in accordance with department Standard Operating Procedures (SOPs) and any regulatory or compliance requirements: + Perform verification of insurance benefits, analysis and identify any potential coverage issues + Assure fast, easy access to pharmacy services while documenting accurate referral and reimbursement (payer) information, coordinating the intake and benefit authorization process + Assist in resolving problems with payers and provide information and expertise to other departments. + Partner with potential international and self-pay patients on any financial or service needs related to their care as assigned. Serve as a resource to the affiliations, staff and physicians regarding Fairview’s pharmacy services in assigned area. Assist with the coordination of services by communicating effectively and in a timely manner with others. Maintain current knowledge of payer requirements and general admitting practices including use of on-line verification applications and initial and ongoing training. Other administrative responsibilities as assigned. **Qualifications** **Required** **Education** + **Experience** + 2 years of experience in a pharmacy setting or with revenue cycle, health insurance or benefit experience using an enterprise software system in healthcare or insurance organization **Preferred** + **Education** + Bachelors’ degree in business, communications, health care or related field. + **Experience** + 2 years health insurance or benefits experience using an enterprise software system in the assigned clinical area or service line of a complex healthcare organization. Knowledge of ICD10 coding. Knowledge of medical benefit investigation and securing or prior authorization securing for medical benefit. + **License/Certification/Registration** + Pharmacy certification with the Pharmacy Technician Certification Board. If Minnesota Board of Pharmacy registration on or after 1/1/2013, must have a certificate of completion from a MNBOP approved employer based or vocational/technical training program + Nationally certified. Certifying exams must have National Commission for Certifying Agencies (NCCA) accreditation, with examples including, Pharmacy Technician Certification Board (PTCB) exam and The Exam for Certification of Pharmacy Technicians (ExCPT). **EEO Statement** EEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
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Intake/Reimbursement Specialist
2 days ago
Minneapolis, United States Fairview Health Services Full timeOverview We at MHealth Fairview are looking for you to join our amazing team! This benefits eligible position is a 1.0FTE(80 hours/2 weeks) on the day shift! As a member of the pharmacy team, the Reimbursement Specialist uses strong customer service skills and knowledge of authorization and reimbursement practices to ensure patients fast, easy and...
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Client Intake Specialist
1 day ago
Minneapolis, United States Lewis Brisbois Full timeThe Minneapolis office of Lewis Brisbois is seeking a Client Intake Specialist with legal experience. The Client Intake Specialist is responsible for handling the intake process for their local office by organizing and tracking new client data and processing new matter memos. Essential functions of this role include but are not limited to: conducting...
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Client Intake Specialist
Found in: Resume Library US A2 - 3 days ago
Minneapolis, Minnesota, United States Lewis Brisbois Full timeOverview: The Minneapolis office of Lewis Brisbois is seeking a Client Intake Specialist with legal experience. The Client Intake Specialist is responsible for handling the intake process for their local office by organizing and tracking new client data and processing new matter memos. Essential functions of this role include but are not limited to:...
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Intake Coordinator
Found in: beBee S US - 3 weeks ago
Minneapolis, United States Avivo Full timeJob Details Job Location 1900 Chicago Ave Minneapolis MN 55404 - MINNEAPOLIS, MNPosition Type Full TimeEducation Level High School Diploma/GED Salary Range $17.77 - $22.21 HourlyJob Shift DayJob Category Billing and Intake Description Do you know, you have the power to change the course of someone's life? Avivo employees do this every day, and we...
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Community Intake Coordinator
Found in: beBee S US - 2 weeks ago
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Maintenance Specialist
Found in: beBee S US - 3 weeks ago
Minneapolis, United States Avivo Full timeJob Details Job Location 1900 Chicago Ave Minneapolis MN 55404 - MINNEAPOLIS, MNPosition Type Full TimeEducation Level High School Diploma/GED Salary Range $17.77 - $22.21 HourlyJob Shift DayJob Category Facilities / Maintenance Description Avivo serves nearly 15,000 individuals each year; helping them achieve recovery, find housing stability, and...
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Maintenance Specialist
Found in: beBee jobs US - 1 week ago
Minneapolis, Minnesota, United States Avivo Full timeJob DetailsJob Location 1900 Chicago Ave Minneapolis MN MINNEAPOLIS, MNPosition Type Full TimeEducation Level High School Diploma/GED Salary Range $ $22.21 HourlyJob Shift DayJob Category Facilities / MaintenanceDescription Avivo serves nearly 15,000 individuals each year; helping them achieve recovery, find housing stability, and achieve employment and...
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Minneapolis, United States Native American Community Full timeJob DescriptionJob DescriptionSUMMARY: The Grants Accounting Specialist will be an integral part of the finance and grant teams, focusing on grant budget tracking, payroll allocations, grant budget to actuals tracking, and grant invoicing. This position will work closely with the program and grant management team to provide the necessary financial...
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Grant Accounting Specialist
1 day ago
Minneapolis, United States Native American Community Full timeJob DescriptionJob DescriptionSUMMARY: The Grants Accounting Specialist will be an integral part of the finance and grant teams, focusing on grant budget tracking, payroll allocations, grant budget to actuals tracking, and grant invoicing. This position will work closely with the program and grant management team to provide the necessary financial...
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Account Specialist, SMD
Found in: Resume Library US A2 - 2 weeks ago
Minneapolis, Minnesota, United States AbbVie Full timeJob Description This role is field-based and candidates should live within a reasonable distance from the primary city. The Account Specialist role promotes BOTOX® to community practices and health systems. Customer accounts may include community/private practices, community-based hospitals, academic medical centers, and government accounts (military...
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Minneapolis, United States Fairview Health Services Full timeOverview: M Health Fairview is looking for a System Nursing Professional Development Specialist - RN to support our OR teams. This position improves the professional practice and role competence of nurses and other healthcare personnel by facilitating ongoing learning, change, and role competence and growth with the intention of improving population health...
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Minneapolis, United States Disability Solutions Full timeJanssen Biotech, Inc., a member of Johnson & Johnson's Family of Companies, is recruiting for an Senior Oncology Sales Specialist, Hematology to support the Minneapolis, MN territory, which includes St. Paul, MN. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases...
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Executive Accounts Specialist
Found in: beBee jobs US - 2 weeks ago
Minneapolis, Minnesota, United States University of Minnesota Full timeJob ID356658LocationTwin CitiesJob FamilyLR-ClericalFull/Part TimePart-TimeRegular/TemporaryRegularJob Code1888Employee ClassAFSCME Unit 6 - Clerical About the JobExecutive Accounts SpecialistContinental Scientific Drilling FacilityJob code 188880% appointment (32 hours/week)Position Description:50% Account review, processing, and reporting...
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Minneapolis, United States Bio-Techne Full timeAt Bio-Techne, we believe that purposeful innovation leads to better answers. And better answers lead to better outcomes for health and humanity. By joining the team, you will be able to have an impact on cutting-edge research that is helping to shape the future of healthcare. We are looking for a skilled Marketing Account Manager who will foster...
