DescriptionJOB SUMMARY: Performs duties of moderate complexity judgement and scope in coordinating and managing all aspects related to insurance benefit information authorization billing and collections for all types of services. Will serve as a resource to patients and their families clinical staff physicians and insurance companies. Will work daily with drug manufacturers to coordinate shipment of medications for patients as well as processing reimbursement to patient accounts from drug manufacturers.
Position Highlights:
- FullTime Days
- 1st shift MF
- Winston Campus
What We Offer:
- Day 1 Health Coverage:Choose from either copay or HSAeligible health insurance options with coverage starting on your first day of work.
- Generous PTO:Accrual starts at 25 days/year to be used for vacations sickness holidays and personal matters.
- Education:Eligible for ourPrepaid College Tuition Assistanceprogram (up to $5250/year)!
- Wellness Incentives:Up to $1350/year in wellness incentives through our LiveWELL program.
- Parental Benefits:Six weeks paid birthingmother maternity leave & four weeks paid parental leave for nonbirthing parents.
- Retirement:Up to 7 employerpaid retirement contributions.
What You Will Need:
- Bachelors degree in accounting Finance or related field or 5 years of insurance related experience required.
- 1 to 3 years of pharmacy experience required.
- Must obtain national Pharmacy Technician Certification within 1 year of hire date.
- Must register yearly with the North Carolina Board of Pharmacy.
Nice to Have (Not Required):
- 1 to 2 years of reimbursement experience in a hospital setting is preferred.
How Youll Impact Patient Care:
Your responsibilities may include but are not limited to:
- Coordinates and manages the billing and collection functions for all commercial payor types regarding reimbursement from drug manufacturers.
- Notifies physician offices of approval periods identifies and monitors accounts determines correct reimbursement following up on claim status performs regular account maintenance collects and distributes Copayment reimbursements appropriately.
- Research insurance benefits to determine what assistance the patient may qualify for through the drug manufacturers.
- Works with patients and develops resolutions to potential patient financial outofpocket exposure and helps them plan and overcome these obstacles.
- Verifies and monitors coverage and other medical benefits.
- Ensures that all payor approvals are always current.
- Performs other duties as assigned.
Where You Will Work:
- Working in healthcare in WinstonSalem North Carolina is a rewarding and dynamic experience. This vibrant city is home to renowned healthcare institutions making it a hub for medical professionals and healthcare innovation.
- As a healthcare professional in WinstonSalem youll have the opportunity to provide topnotch care to a diverse and engaged community. The healthcare industry here is characterized by a commitment to patientcentered care cuttingedge medical research and a collaborative spirit among healthcare providers.
- WinstonSalem offers a high quality of life with a cost of living thats lower than in many other major cities. Youll find thriving arts and culture scene beautiful parks and a strong sense of community. The citys commitment to healthcare extends beyond the hospital walls with initiatives aimed at improving public health and wellness.
- Whether youre drawn to clinical care research or administration working in healthcare in WinstonSalem NC allows you to be part of a healthcare environment that values excellence compassion and the wellbeing of the community. Join us in contributing to the health and vitality of WinstonSalem where healthcare is not just a profession but a calling.
Required Experience:
IC