Reimbursement Specialist I – Remote

This role sits in the specialty pharmacy world, making sure copay assistance and reimbursement gets processed cleanly so patients aren’t stuck with surprise balances. You’ll monitor claims, fix billing setup issues, and help resolve reimbursement questions fast and accurately.

About Lumicera
Lumicera Health Services (powered by Navitus) provides specialty pharmacy solutions focused on transparency and stewardship to support patient well-being. The team emphasizes creativity and a diverse workplace.

Schedule

  • Full-time, remote
  • Monday to Friday, 10:30 AM to 7:00 PM
  • Remote not available for 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 for accuracy and successful submission
  • Ensure patient billing information is set up correctly in pharmacy software
  • Join reimbursement and billing meetings as needed
  • Respond to employee, patient, and client questions or complaints about reimbursement and billing
  • Partner with internal teams to review and resolve claim issues
  • Maintain reference information for reimbursement and copay assistance
  • Document insurance, prescriptions, and orders accurately in patient profiles
  • Follow all federal and state laws and uphold ethical and compliance standards
  • Support other duties as assigned

What You Need

  • High school diploma or GED (some college preferred)
  • CPhT preferred
  • Pharmacy technician license or trainee license strongly preferred in states requiring licensure
  • Preferred experience in pharmacy, health plan, or clinical insurance claims billing, benefit assessments, billing and claims documentation, or claims auditing
  • Ability to support compliance program objectives
  • Ability to work cooperatively and respectfully with others

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% (no vesting requirement)
  • Adoption assistance program
  • Flexible spending account
  • Educational assistance plan and professional membership assistance
  • Referral bonus program (up to $750)

Pay Range

  • $18.67 to $21.96 per year (as listed)

If you’ve got claims billing chops and you’re detail-obsessed in a good way, this one’s worth a look.

Happy Hunting,
~Two Chicks…

APPLY HERE.