New Jersey Licensed Reimbursement Specialist

Virtual Vocations Inc · Workfromhome, United States

To support key business operations, the remote Reimbursement Specialist will manage reimbursement cases, assist patients in navigating pharmacy coverage requirements, and collaborate with various healthcare stakeholders while working a flexible schedule. Key responsibilities Coordinate reimbursement cases from initial benefit research through coverage approval activities Analyze pharmacy coverage information and insurance requirements to identify eligibility and documentation needs Facilitate communication among patients, insurance organizations, and medical offices to resolve coverage barriers Required qualifications Minimum of 2 years of relevant reimbursement, pharmacy access, or insurance experience required Experience supporting specialty pharmacy operations or patient access programs is strongly preferred Demonstrated knowledge of pharmacy benefit verification and reimbursement processes is required Health insurance or payor experience may be considered when relevant pharmacy experience is unavailable Bachelor's degree is highly preferred