Reimbursement Specialist II

Job description

Why We Are - Who We Are: About FFF Enterprises What We Do - https://www.fffenterprises.com/company/what-we-do.html Position Summary: The Reimbursement Specialist is a pivotal position requiring excellent communication skills, independent judgment, and ability to interact with private, state and federal payer representatives, fiscal intermediaries, case managers, pharmacy partners and nufactor field personnel in the role of coordinating reimbursement from product dispensing through to completion and final resolution of the payment cycle. Incumbent shall possess intermediate knowledge of reimbursement principles as well as the structure of various private, federal and state payer entities and the specific program issues related to each. Essential Functions and Duties: Education, Knowledge, Skills, and Experience - Submit and/or follow-up on payer claims. This may include; primary, secondary, tertiary claims and/or patient statements. Verify accuracy of payments according to the payer’s fee schedule. - Possess an intermediate understanding and ability to audit accounts receivables: analysis of payments, contractual discounts and/or adjustments, bad debt, recoupments, refunds and the c...