Are you a detail-oriented individual with a passion for healthcare and a knack for navigating reimbursement processes? We have an exciting opportunity for you to join our team as a Pharmacy Administrative Assistant and Reimbursement Specialist.
Capsule Pharmacy is an innovative healthcare organization dedicated to providing exceptional services to our community. We take pride in our commitment to improving patient outcomes and ensuring access to essential medications

QUALIFICATIONS

• Excellent communication and problem-solving skills
• Detail-oriented with a focus on accuracy and efficiency.
• Ability to work independently and as part of a collaborative team.
• Understanding of pharmacy billing and reimbursement procedures is a plus.
• Knowledge of insurance plans and prior authorization processes is beneficial.

REQUIREMENTS

• Previous experience in pharmacy, healthcare, reimbursement, or office administration is preferred.
• Proficient in using relevant software and databases, including Microsoft Office Suite.
• Commitment to maintaining patient confidentiality and privacy.

• Manage and process pharmacy claims for accurate and timely reimbursement.
• Collaborate with insurance companies, pharmacy staff, patients, and drug providers to assist in resolving reimbursement discrepancies.
• Provide excellent customer service to patients, clinics, and medication providers.
• General administrative duties including answering/transferring phone calls, drafting emails, sending faxes, and ensuring smooth office operations.