This is a specialty pharmacy reimbursement role focused on copay assistance, claims accuracy, and clean billing setup. If you’re good with details, enjoy chasing down discrepancies, and you can keep claims moving without dropping the ball, this is a solid entry-to-mid lane in pharmacy admin.
About Lumicera (Powered by Navitus)
Lumicera Health Services is a specialty pharmacy solutions company (powered by Navitus) focused on optimizing patient well-being through transparency and stewardship. Their teams support specialty pharmacy operations with strong compliance standards and a service mindset.
Schedule
- Full time
- Remote
- Work hours: Monday–Friday, 10:30am–7:00pm
- Remote work not available to residents of: AK, CT, DE, HI, KS, KY, ME, MA, MS, MT, NE, NH, NM, ND, RI, SC, SD, VT, WV, WY
What You’ll Do
Monitor claims activity to ensure accuracy and successful submission
Set up and maintain patient billing information correctly in pharmacy software
Follow SOPs to obtain and process manufacturer copay assistance reimbursements
Work with internal teams to research and resolve claim issues and reduce discrepancies and outstanding balances
Respond to employee, patient, and client questions related to reimbursement and billing
Maintain accurate reference info related to reimbursement and copay assistance programs
Document insurance, prescriptions/orders, and related details thoroughly in patient profiles
Participate in meetings or conferences related to reimbursement/billing as needed
May contact patients with outstanding balances to explain billing options
What You Need
High school diploma or GED (some college preferred)
Experience in pharmacy, health plan, or clinical insurance claims billing, benefit assessments, claims documentation, or claims auditing preferred
Ability to follow compliance requirements and maintain ethical standards
Strong attention to detail and accurate documentation habits
Ability to communicate clearly and work cooperatively with internal teams
Preferred Qualifications
CPhT preferred
Pharmacy technician license or trainee license strongly preferred in states requiring licensure
Benefits
Health, dental, and vision insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays
401(k) match up to 5% with no vesting requirement
Adoption assistance program
Flexible Spending Account
Educational assistance plan + professional membership assistance
Referral bonus program up to $750
Quick reality check: the state exclusions are a dealbreaker. If you live in one of those listed states, don’t waste the application. If you don’t, this is a nice “claims + reimbursement” role that can ladder into higher reimbursement roles, pharmacy ops, or payer-facing work.
Happy Hunting,
~Two Chicks…