- Perform verification of insurance benefits, analysis and identify any potential coverage issues
- Assure fast, easy access to pharmacy services while documenting accurate referral and reimbursement (payer) information, coordinating the intake and benefit authorization process
- Assist in resolving problems with payers and provide information and expertise to other departments.
- Partner with potential international and self-pay patients on any financial or service needs related to their care as assigned.
- Experience
- 2 years of experience in a pharmacy setting or with revenue cycle, health insurance or benefit experience using an enterprise software system in healthcare or insurance organization
- Education
- Bachelors' degree in business, communications, health care or related field.
- Experience
- 2 years health insurance or benefits experience using an enterprise software system in the assigned clinical area or service line of a complex healthcare organization. Knowledge of ICD10 coding. Knowledge of medical benefit investigation and securing or prior authorization securing for medical benefit.
- License/Certification/Registration
- Pharmacy certification with the Pharmacy Technician Certification Board. If Minnesota Board of Pharmacy registration on or after 1/1/2013, must have a certificate of completion from a MNBOP approved employer based or vocational/technical training program
- Nationally certified. Certifying exams must have National Commission for Certifying Agencies (NCCA) accreditation, with examples including, Pharmacy Technician Certification Board (PTCB) exam and The Exam for Certification of Pharmacy Technicians (ExCPT).
-
Intake Specialist
1 week ago
Internet Brands Minneapolis, United States· Team: Premier · The Primary focus of this position is to process prospective client intakes who are interested in applying for Social Security Disability. · A Disability Evaluation Specialist's primary duties include, but are not limited to: Answering inbound/outbound calls ...
-
Client Intake Specialist
5 days ago
Lewis Brisbois Minneapolis, United StatesThe Minneapolis office of Lewis Brisbois is seeking a Client Intake Specialist with legal experience. The Client Intake Specialist is responsible for handling the intake process for their local office by organizing and tracking new client data and processing new matter memos. Ess ...
-
Client Intake Specialist
6 days ago
Lewis Brisbois Bisgaard & Smith LLP Minneapolis, United StatesOverview · The Minneapolis office of Lewis Brisbois is seeking a Client Intake Specialist with legal experience. The Client Intake Specialist is responsible for handling the intake process for their local office by organizing and tracking new client data and processing new matter ...
-
Client Intake Specialist
4 days ago
Lewis Brisbois Bisgaard & Smith Minneapolis, United StatesOverview: · The Minneapolis office of Lewis Brisbois is seeking a Client Intake Specialist with legal experience. The Client Intake Specialist is responsible for handling the intake process for their local office by organizing and tracking new client data and processing new matt ...
-
Reimbursement Specialist
2 weeks ago
Hillrom St. Paul, United States Regular, Full timeThis is where you save and sustain lives · At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You'll feel a sense of purpose throughout the organization, as we know our work improves out ...
-
Reimbursement Specialist
2 weeks ago
Hillrom St. Paul, United States Regular, Full timeThis is where you save and sustain lives · At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You'll feel a sense of purpose throughout the organization, as we know our work improves out ...
-
Patient Services Intake Specialist
1 week ago
Twin Cities Orthopedics Minneapolis, United StatesThe Patient Services and Intake Specialist is responsible for patient registration, scheduling of patients in a call center environment while maintaining a high level of customer service. This is a full-time position working M-F from 8:30 am - 5:00 p Surgery, Patient Services, As ...
-
Patient Services Intake Specialist
1 week ago
Colon & Rectal Surgery Minneapolis, United StatesThe Patient Services and Intake Specialist is responsible for patient registration, scheduling of patients in a call center environment while maintaining a high level of customer service. · This is a full-time position working M-F from 8:30 am - 5:00 pm out of our Coon Rapids lo ...
-
Patient Services Intake Specialist
1 week ago
Colon & Rectal Surgery Minneapolis, United StatesThe Patient Services and Intake Specialist is responsible for patient registration, scheduling of patients in a call center environment while maintaining a high level of customer service.This is a full-time position working M-F from 8:30 am - 5:00 pm out of our Coon Rapids locati ...
-
Patient Services Intake Specialist
4 days ago
Colon & Rectal Surgery Minneapolis, United StatesThe Patient Services and Intake Specialist is responsible for patient registration, scheduling of patients in a call center environment while maintaining a high level of customer service. · This is a full-time position working M-F from 8:30 am - 5:00 pm out of our Coon Rapids lo ...
-
SilverLinx Hugo, United StatesAbout IONOS SE: · We are Europe's leading platform for cloud services and hosting solutions. We successfully support our customers in their business development. Our company's success is driven by over Now apply employees in multiple countries worldwide, fulfilling the needs and ...
-
Provider Reimbursement Specialist
6 days ago
UnitedHealth Group Eden Prairie, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel ...
-
Patient Intake Specialist
3 weeks ago
Hillrom St. Paul, United States Regular, Full timeThis is where you save and sustain lives · At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You'll feel a sense of purpose throughout the organization, as we know our work improves out ...
-
Client Intake and Information Specialist
1 day ago
Minnesota Assistance Council for Veterans Falcon Heights, United States:Organization Overview: · Minnesota Assistance Council for Veterans (MACV) is a statewide nonprofit organization with a mission to end Veteran homelessness in Minnesota. MACV provides comprehensive programs in the areas of housing, employment, and legal services to support Vetera ...
-
Client Intake and Information Specialist
1 day ago
Minnesota Assistance Council for Veterans SAINT PAUL, MN, US, United States:Organization Overview: · Minnesota Assistance Council for Veterans (MACV) is a statewide nonprofit organization with a mission to end Veteran homelessness in Minnesota. MACV provides comprehensive programs in the areas of housing, employment, and legal services to support Vetera ...
-
Client Intake and Information Specialist
1 day ago
Minnesota Assistance Council for Veterans Saint Paul, United StatesJob Description · Job DescriptionDescription:Organization Overview: · Minnesota Assistance Council for Veterans (MACV) is a statewide nonprofit organization with a mission to end Veteran homelessness in Minnesota. MACV provides comprehensive programs in the areas of housing, empl ...
-
Client Intake and Information Specialist
1 day ago
Minnesota Assistance Council for Veterans Saint Paul, United States:Organization Overview: · Minnesota Assistance Council for Veterans (MACV) is a statewide nonprofit organization with a mission to end Veteran homelessness in Minnesota. MACV provides comprehensive programs in the areas of housing, employment, and legal services to support Vetera ...
-
Client Intake and Information Specialist
4 hours ago
Minnesota Assistance Council for Veterans Saint Paul, United StatesJob Description · Job DescriptionDescription:Organization Overview: · Minnesota Assistance Council for Veterans (MACV) is a statewide nonprofit organization with a mission to end Veteran homelessness in Minnesota. MACV provides comprehensive programs in the areas of housing, empl ...
-
Client Intake and Information Specialist
2 days ago
Minnesota Assistance Council for Veterans Saint Paul, United StatesJob Description · Job DescriptionDescription:Organization Overview: · Minnesota Assistance Council for Veterans (MACV) is a statewide nonprofit organization with a mission to end Veteran homelessness in Minnesota. MACV provides comprehensive programs in the areas of housing, empl ...
-
Patient Services Intake Specialist
1 week ago
i-Health Coon Rapids, United States Regular, Full time· The Patient Services and Intake Specialist is responsible for patient registration, scheduling of patients in a call center environment while maintaining a high level of customer service. · This is a full-time position working M-F from 8:30 am - 5:00 pm out of our Coon Rapids ...
Intake/Reimbursement Specialist - Minneapolis, United States - Fairview Health Services
Description
Overview
We at MHealth Fairview are looking for you to join our amazing team This benefits eligible position is a 1.
As a member of the pharmacy team, the Reimbursement Specialist uses strong customer service skills and knowledge of authorization and reimbursement practices to ensure patients fast, easy and appropriate access to pharmacy services.
The Reimbursement Specialist accepts and processes referrals, identifies payer sources, verifies benefit information and acquires initial authorization as needed to begin patient service or to determine denial of patient service.
This position also follows up on pending unresolved coverage issues and claim denials and documents and communicates to appropriate providers and internal department's accurate authorization information on current or potential patients.
This position may also complete the patient intake process, schedule patient appointments and partner with care team and external resources to ensure efficient patient flow as assignedResponsibilities/Job Description
Using strong knowledge of insurance, pharmacy practice, revenue cycle and in accordance with department Standard Operating Procedures (SOPs) and any regulatory or compliance requirements:
Maintain current knowledge of payer requirements and general admitting practices including use of on-line verification applications and initial and ongoing training.
Qualifications
Required
Education