Infusion Reimbursement Contract Specialist

Overview

Employer Industry: Specialty Pharmacy and Infusion Services

Why consider this job opportunity:

• Competitive wages with annual merit-based increases
• Flexible remote work arrangement
• Comprehensive benefits package including affordable medical, dental, and vision insurance
• Paid parental leave and generous paid time off
• 401(k) plan with company matching and referral bonuses
• Positive company culture that encourages creativity and employee engagement

• Assist the Reimbursement Contracts Manager in reviewing payor contracts and amendments
• Provide consultation, education, and training on payor contract requirements to Intake and Reimbursement teams
• Deliver timely and accurate information regarding payor reimbursement methodologies, rates, and policies to stakeholders
• Manage payor contract and reimbursement-related resources on the company intranet
• Prepare reports and assist with special projects related to reimbursement compliance

• Minimum of 4 years of experience with Home Infusion therapies and associated HCPC codes
• Thorough understanding of payor contracts, including audits and reimbursement language review
• Reimbursement experience related to auditing, root cause analysis, and financial analysis
• Advanced knowledge of medical insurance plans, including Managed Care Organizations and Medicare Advantage
• Proficiency in Microsoft Office Suite and high organizational skills

• Experience in creating training materials or standard operating procedures (SOPs) for large groups
• Advanced knowledge of Home Infusion or Medical Specialty Pharmacy pricing and fee schedules

#Specialty Pharmacy #Infusion Services #Remote Work #Career Opportunity #Diversity And Inclusion

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."