Job 46621

UW Health

Middleton, WI, US
**
Pharmacy claim billing
Adjudication rejections
Customer service
** UW Health is seeking a Reimbursement Specialist – Pharmacy to manage pharmacy claim billing and support audit activities. The position requires strong attention to detail and customer service skills, with a preference for candidates with pharmacy billing experience and knowledge of insurance claim adjudication. **

Job Summary

  • Manage pharmacy claim billing, including identifying and resolving adjudication rejections to ensure accurate and timely processing.
  • Support pharmacy audit activities by preparing required documentation, reviewing claims, and assisting with compliance efforts.
  • Deliver excellent customer service through clear communication, problem solving, and support to internal and external partners.

Matching Summary

Match Score: 75

** UW Health is seeking a Reimbursement Specialist – Pharmacy to manage pharmacy claim billing and support audit activities. The position requires strong attention to detail and customer service skills, with a preference for candidates with pharmacy billing experience and knowledge of insurance claim adjudication. **

Skills & Requirements

Must-have

  • pharmacy claim billing
  • adjudication rejections
  • customer service
  • task management
  • attention to detail

Nice-to-have

  • knowledge of pharmacy billing systems
  • background with Medicare, Medicaid and commercial insurance

Key Requirements

  • High School Diploma or equivalent Required
  • 2 years of experience in a healthcare revenue cycle or clinic operations role Required

Work Rights

Not specified

Tailored Resume

Cover Letter