Adecco is currently supporting a prominent pharmaceutical organization in their quest to find an experienced Medical Reimbursement Specialist in Cary, NC. Apply Now!
Requirements: 1-3 years of Healthcare or Insurance call center experience
Schedule: Cary, NC Office: Monday-Friday 9-6 (ET);
Pay Rate: The wage for this position is between $20 and $21.35. Hourly wage may depend upon experience, education, geographic location and other factors.
Enter all communication and documentation in the Biologics MIS
Utilize all available resources to secure copay assistance funding for patients in need of financial assistance, and communicate available resources to providers and patients
Communicate with providers regarding patient updates and document in the Biologics MIS
Utilize clinical notes provided by providers to initiate prior authorizations via online portal, phone or fax
Review and assist patients in completing their applications for assistance.
Follow-up as needed with the patient, provider and third party to ensure application completeness.
Follow-up on applications for assistance with third party entities until an assistance determination decision is made (copay or free good support)
Manage inbound calls on the manufacturer customer service lines from patients, clients, physicians, practitioners and clinics regarding inquiries about services provided, financial support programs and applications
Coordinate with the Patient Benefit team to initiate the pharmacy dispensing workflow when the assistance outcome has been determined
Triage prescriptions to preferred pharmacies or hub providers when Biologics is unable to serve the patient and ensure pharmacy or hub receipt
Other related duties as assigned by Supervisor
Identify and report adverse events (AEs) and product complaints (PCs) to clinicians
What do we need from you?
Healthcare or Insurance call center experience
Retail or Specialty Pharmacy experience
1-2 years of related work experience
Click on apply now for instant consideration!
Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Pay Details: $20.00 to $21.35 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
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The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.