Our client is a responsible, well respected name in health care patient services. Due to growth , adding to the team. Focus on Specialty Drugs Reimbursement
Work in Office - North Phoenix. Pay rate 78 - 85 K DOE
Must be an Expert in Health Insurance Billing & Reimbursement for SPECIALTY DRUGS,
Overall responsibility for multi-state new patient referrals through the prior auth process, management for the most difficult patient cases, problem resolution and decision making, with ability to back-up decisions, plus educate and guide the Insurance Specialists on the team. With goal of obtaining approvals for the drug therapy.
Establishing relationships with the payers and call on existing relationships
Interface with physicians and drug manufacturer representatives to obtain and provide patient and provider specific information.
Research and compile provider / manufacturer representative specific information for reimbursement database.
Advise and coordinate with IT for insurance contract interpretations to load in the system
Feel free to email your resume to me directly at email@example.com