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PANTHERx® Specialty Pharmacy is THE Rare Disease Specialty Pharmacy®, servicing patients nationwide, and headquartered in Pittsburgh, Pennsylvania. PANTHERx Specialty's mission is to transform lives by delivering medical breakthroughs, clinical excellence, and access solutions to patients afflicted with rare and devastating conditions. PANTHERx was recently recognized as the fastest growing healthcare company by Inc. magazine and in the top 5 places to work by Modern Healthcare. PANTHERx identifies opportunities every day to Reinvent Specialty, Revolutionize Pharmacy, and Redefine Care®, by developing focused solutions, bold innovation, and novel clinical services associated with the life-transforming therapies.

We are currently seeking a full-time Reimbursement Specialist to join our team!

Company Benefits:

  • Medical Insurance
  • 401K (After 1 year of service)
  • Paid-Time Off
  • EAP Services

Purpose

The role of the Reimbursement Specialist is to work closely with the Accounts Receivable & Insurance Resolution Specialist departments to ensure all outstanding billing is resolved timely. To perform this job successfully, an individual must be able to perform each essential function and work cross-functionally across multiple departments. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Responsibilities

  • Billing of claims on CMS 1500 & UCF forms
  • Ability to process pharmacy claims on the patient’s behalf through a pharmacy benefit system
  • Troubleshoot & resolve previously billed claims and rejections
  • Rebilling of claims either electronically, manually, or any means requested by payer
  • Phone Conversations with providers, insurers and patients to resolve outstanding balances
  • Open communication within all departments and provide feedback to ensure positive results for patients, payors and Panther
  • Attendance and participation in meetings to improve existing processes
  • Other duties as assigned

Required Qualifications

  • High school diploma or general education degree (GED)
  • Strong written and verbal communication skills necessary to professionally and effectively convey ideas
  • Prioritization of daily tasks and focus on company goals
  • Ability to multitask
  • Proficient with EDS billing systems, Excel and Word
  • Minimum 2 years’ experience

Preferred Qualifications

  • Experience or knowledge within the healthcare industry, particularly a mail order or specialty pharmacy
  • Experience with CPR+

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of the job.

 


Wage

DOE

Experience

Any

Type

Full-time