AmeriPharma is a rapidly growing healthcare company focused on specialty care, infusion, long-term care, and medication packaging services. This role supports the Director of Revenue Integrity and Director of Patient Retention in the financial review process by analyzing new referrals, patient health plan fee schedules, and reimbursement databases.
The position evaluates payer reimbursement methodologies, reviews patient insurance benefits, and helps educate patients about drug brands and copayment assistance programs. The goal is to improve patient onboarding and ongoing care by ensuring patients understand available healthcare benefit options.
This is an on-site position in Laguna Hills, CA. Remote work is not available.
Required
- Associate degree
- Minimum 2 years of experience in a specialty pharmacy setting
- Minimum 2 years of experience with payer reimbursement methodologies in healthcare revenue specialty reimbursement, including Medicare Part B and D
- Strong attention to detail and organizational skills
- Ability to manage multiple tasks and meet deadlines in a fast-paced environment
- Effective verbal and written communication skills
- Proficiency in Microsoft Office applications and basic data entry
- Ability to work independently and collaboratively
Preferred
- Experience in specialty pharmacy, home infusion, medical billing, or copay assistance programs
Additional qualifications
- Strong patient care and customer service skills
- Business acumen, problem-solving, and analytical skills
- Knowledge of medical and pharmacy reimbursement methodologies
- Familiarity with health insurance benefits and patient access/copayment assistance programs
Benefits and perks
- Full medical, dental, and vision benefits
- Life insurance
- Competitive total rewards package
- Employee assistance program with mental health, legal, and financial counseling support
- Comprehensive PTO and sick leave
- 401(k) program
- Growth and advancement opportunities
- Company-sponsored outings and team-building events
- Casual Fridays
Location
California, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
4 weeks ago