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Reimbursement Navigator
Pasadena or United States
$160k-$170k/yrFieldFull Time
Arrowhead PharmaceuticalsNASDAQ: ARWR: Develops RNAi medicines to treat genetic and intractable diseases.
7+ YOEBachelor's degree,7+ years pharma/biotech experience,3+ years in reimbursement/patient access or specialty pharmacy,knowledge of pharmacy benefit reimbursement,valid driver's license,ability to travel and reside in territory.
LUX Infusion: Provides clinical infusion therapy and patient care coordination services.
2+ YOETwo+ years medical insurance or reimbursement experience; attention to detail; strong communication; proficiency with billing systems and payer portals.
Microsoft Office, Billing systems, Payer portals, CPR+, CareTend, CareTend systems
Acelpa Health: Provides home and clinic-based specialty infusion and pharmacy services.
2+ YOE2+ years in healthcare reimbursement; insurance verification, billing and collection; strong computer, communication, and organizational skills; able to work under pressure.
Penn Medicine: Academic health system providing clinical care and medical research.
3+ YOEBachelor's in Accounting/Finance/Business and 3+ years experience with governmental reimbursement, state/regulatory filings, cost reporting and PIP activities; CHFP preferred.
Salina Regional Health Center: Regional health system providing hospital and emergency medical services.
5+ YOEPerform third-party contractual allowance accruals, ensure accurate reimbursement, support management reporting and data analysis, and assist with Medicare cost report preparation.
LCMC Health: Provides non-profit healthcare services and medical education in Louisiana.
8+ YOE8+ years government healthcare reimbursement and accounting experience; knowledge of Medicare/Medicaid reimbursement, CMS systems, cost reports, strong analytical skills.
CMS PRM, CMS 2552, CMS IACS, EIDM, Medicare IRIS, Microsoft Excel, Microsoft Access, Microsoft Word, Microsoft PowerPoint
Tampa General Hospital: Operates an academic health system and provides specialized medical services.
5+ YOEBachelor's in finance (or equivalent), minimum 5 years hospital finance and reimbursement experience; strong knowledge of Medicare/Medicaid, 340B, GME, audits, enrollments, and regulatory compliance.
CoxHealth: Operates hospitals and clinics providing medical services in Missouri.
1+ YOEBachelor's in business/finance/healthcare or equivalent experience, 1+ year reimbursement/financial experience, strong Excel and MS Office skills, excellent communication and analytical ability.
Tampa General Hospital: Provides specialized medical care and academic hospital services.
5+ YOEBachelor's in finance or related, minimum 5 years hospital finance and reimbursement experience, strong knowledge of Medicare/Medicaid/340B/GME and regulatory requirements, excellent analytical and communication skills.
University of Missouri System: Public university system providing education, research, and healthcare services.
2+ YOEBachelor's degree or equivalent and at least 2 years relevant experience; advanced knowledge of medical billing, reimbursement, denial management, policy development, analysis, training, and Microsoft Office proficiency.
Microsoft Office, Experian Contract Management, NAVEX
University Hospitals: Provides comprehensive healthcare, clinical research, and medical education services.
5+ YOE3+ MgmtBachelor's in accounting/healthcare administration/finance required; 5+ years healthcare accounting or consulting, 3+ years supervisory experience; advanced Medicare/Medicaid reimbursement knowledge; Excel and analytics proficiency.
3+ YOEAssociate degree preferred or minimum 3 years in reimbursement, billing, analytics; CPC certification; strong Excel; Medicare/Medicare Advantage/Commercial knowledge; ability to analyze large datasets and provide insights.
University of Virginia: Provides higher education, academic research, and medical healthcare services.
3+ YOEBachelor’s in business/finance required, minimum 3 years finance experience, CPA preferred, HFMA fellow preferred, experience with PCON and Siemens preferred, knowledge of Medicare/Medicaid reimbursement and cost reporting.
Syneos Health: Global biopharmaceutical services for clinical development and commercialization.
2+ YOEBachelor's degree and 2+ years reimbursement or managed care experience; knowledge of access, coverage and reimbursement including Medicare Parts B & D; ability to educate provider offices and communicate payer changes.
UPMC: Integrated health system providing clinical care and medical insurance.
Bachelor's in healthcare administration or business preferred (experience may substitute), strong analytical and math skills, knowledge of fee schedules/DRGs/ICD-10/CPT, expert Microsoft Access and Excel, reimbursement experience preferred.
PromptCare: Provides specialty home respiratory and infusion therapy services.
Experience with infusion reimbursement, insurance data collection/verification, claims submission and collections; working knowledge of Medicare/Medicaid; 2-3 years preferred; high school diploma required; familiarity with CPR+ or Caretend preferred.