Pharmacy Reimbursement Specialist
Employment type
Full-time
Work setting
On-site
Location
Beaufort, SC
Schedule
Day shift
Posted
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Job overview
The Pharmacy Reimbursement Specialist role is onsite in Beaufort, SC; compensation is not specified. The position supports Beaufort Memorial Hospital’s outpatient infusion centers and works with Pharmacy, Finance, and Oncology leadership. The specialist helps secure appropriate reimbursement for drugs ordered and administered in outpatient infusion care. The role coordinates ordering, insurance verification, authorization, product selection, claim reconciliation, and follow-up with payers to address claim issues and underpayments.
What you'll do
- Support drug and agent ordering, insurance verification, pre-authorization, product selection guidance, and claim reconciliation
- follow up on claim adjudication, rejects, and underpayments
- coordinate with payer contacts
- and may work on copay and drug reimbursement cards available to patients.
What we're looking for
- Skills & competencies
- pharmacy reimbursement specialistbeaufort scbeaufort memorial hospitaloutpatient infusiondrug reimbursementinsurance verificationpre-authorizationclaims reconciliationpayer follow-uppharmacyfinanceoncology
- Work arrangement
- Weekend coverage required
Why this role
The role works closely with prescribing physicians, nurse practitioners, pharmacy, finance, pre-authorization, infusion, and oncology staff in a matrixed setting.
About the employer
Beaufort Memorial Hospital is hiring for this role. Industry: General Medical and Surgical Hospitals. Sector: 62.
Additional details
- Industry sector
- 62
- Industry
- General Medical and Surgical Hospitals
- Occupation code
- 13-2072.00
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Listing ID: b74f4c84-6ab6-4bba-a1f5-7fb329a76f5c