Insurance Reimbursement Specialist Help turn insurance complexities into patient access as an Insurance Reimbursement Specialist. In this role, you’ll help clear the path between coverage, approval, and critical treatment to help make sure patients receive the medications they need without unnecessary delays.
Who We Are Red Chip Enterprises is the premier provider of management services to Hemophilia Treatment Centers that offer outpatient factor programs to their patients. Red Chip works with 18 HTCs in 11 states and has pharmacy licenses in 50 states.
What You’ll Do
Verify patient insurance eligibility and benefits
Validate insurance information & resolving discrepancies
Review and update insurance information in CPR+
Research payer requirements (online & phone)
Obtain authorizations and required documentation
Communicate coverage details and patient responsibility
Stay current on payer guidelines and changes
Partner with internal teams to keep orders moving
Maintain HIPAA compliance and accuracy standards
What You Bring
High school diploma or equivalent
Some healthcare and/or insurance knowledge preferred.
Strong attention to detail and organization
Strong communication & computer skills
Ability to multitask in a fast-paced environment with shifting priorities.
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