reimbursement specialist .

Work schedule: M-F, 10am-7pm, 11am-8pm EST Work location & Type: Onsite (11800 Weston Parkway Cary NC 27513) Required skills: Insurance billing, customer service, pharmacy experience, 1-2 years in related field Essential Duties and Responsibilities • 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

salary: $21.99 - $22 per hour
shift: First
work hours: 10 AM - 7 PM
education: High School

Responsibilities

Essential Duties and Responsibilities

• 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




Skills

Verbal Communication

Qualifications

Years of experience: 0 years

Experience level: Entry Level

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Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.