Reimbursement Specialist - 253442

Reimbursement Specialist - 253442 at Medix Reimbursement Specialist - 253442 at Medix in Casselberry, Florida Posted in about 20 hours ago.

Type:

full-time

Job Description:

Reimbursement Specialist (Onsite - Maitland, FL 32751) ????

Pay:

$19-$20/hr ????

Location:

Maitland, FL (Fully Onsite) ????

Schedule:

Flexible 8-hour shifts, Monday-Friday between 8:00 AM - 8:00 PM Contract-To-Hire Opportunity! We're looking for a detail-oriented Reimbursement Specialist to join a growing healthcare team in Maitland, FL! This role plays a key part in helping patients gain access to critical therapies by conducting pharmacy benefit investigations and coordinating with insurance providers and care teams. ???? What You'll Do Conduct pharmacy benefit investigations using test claims, eBV tools, and outbound calls Verify prescription and specialty pharmacy coverage with insurance providers Accurately update patient records (BIN, PCN, Group, ID, etc.) Document benefit details and ensure proper case routing Review referrals for accuracy and follow up on missing information Route cases to appropriate teams and escalate urgent issues Monitor and follow up on prior authorizations Troubleshoot and resolve data or system issues impacting cases ? What We're Looking For 1-2 years of experience in pharmacy, insurance verification, or healthcare support Hands-on experience with pharmacy benefit investigations and claims adjudication Understanding of pharmacy claims processing (BIN, PCN, Group, ID) Strong data entry and system navigation skills (CRM/case management tools) High school diploma or GED ? Nice to Have Experience in specialty pharmacy or hub services Familiarity with electronic benefit verification (eBV) tools Knowledge of prior authorizations Associate's degree or healthcare/pharmacy-related certification Call center or telephony system experience ???? Why This Role? Meaningful, mission-driven work improving patient access to life-changing therapies Exposure to the full patient access lifecycle (benefits, authorizations, coordination) Strong training and mentorship from experienced healthcare professionals Tech-enabled workflows in a fast-paced, supportive environment Career growth opportunities within a growing organization