About this role
Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families.
Shift:
First Shift (United States of America)Medication Access Coordinator – Medical Billing
$1,000 Sign-On Bonus!
Role Highlights
Nebraska Medicine is now accepting applications for an experienced Medication Access Coordinator to join our Retail/Specialty Pharmacy team, focusing on home infusion medical billing. This position is based at our Central Fill location (approx. 114th and Dodge in Omaha, NE) with the option to work remotely. Candidates must reside in Nebraska or Iowa.
Also known as: Medical Billing, Reimbursement Specialist, Pharmacy Advocate, Pharmacy Insurance Tech, Pharmacy Technician, Pharmacy Financial Counselor
What You’ll Do
Conduct medical billing benefit investigations
Complete prior authorizations and insurance appeals
Remove medication access barriers and support patients with coverage needs
Apply expertise in DME billing, payer-specific infusion coverage guidelines, and home infusion services
Document and follow up in a fast-paced, desk-based environment
What We’re Looking For
Minimum of 3 years’ experience in retail/specialty pharmacy insurance or payer systems (Medicaid, Medicare, or private insurance)
Familiarity with CPR+ or CareTend software
Strong problem-solving and patient advocacy skills
Detail orientation with excellent documentation and follow-up
Applicants may be eligible for a $1,000 sign-on bonus. Ask your recruiter for additional details.
Shift & Schedule
Full Time – 1.0 FTE (80 hours per pay period)
8-hour shifts, Monday–Friday (start times between 7:00 AM and 11:00 AM)
Potential to work fully remote, though must reside in either Nebraska or Iowa
Why Work at Nebraska Medicine?
Together. Extraordinary. Join a team that values your skills and collaboration.
Leading Health Network. Partner with UNMC to transform lives through education, research, and patient care.
Dignity and Respect. We reflect and celebrate the diverse communities we serve.
Educational Support. Up to $5,000/year in tuition assistance, 35% off Clarkson College, and advancement opportunities with covered costs.
Be part of something extraordinary at Nebraska Medicine!
If you have questions about applying, contact the recruiter: Kory Kidd, [email protected].
Medication Access Coordinator - Medical Billing:
Determine, support, and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third party prior authorization and billing processes for pharmacy benefits. Assist patients within enrollment into grants, assistance programs, and communicate any financial responsibilities. Provide a Face-to Face/virtual beside oriented service that delivers comprehensive fiscal options to patients. Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and previous medications to third party. Verify eligibility, pharmacy benefit provisions and support the appeals process.
Required Qualifications:
Minimum of three years healthcare and/or insurance/third party reimbursement experience.
High school education or equivalent required.
Excellent interpersonal skills and the ability to successfully interact with a variety of internal and external customers at all levels required.
Ability to solve problems independently and must be strongly vested in team management required.
Ability to multi-task and excel in a dynamic environment required.
Experience with various computer mainframe, network, web based and payer applications required.
Must register with the State of NE as a pharmacy technician required.
Must complete Pharmacy Technician Certification within one year required.
Preferred Qualifications:
Knowledge of commercial, Medicare B, Medicare D, and Medicaid pharmacy rules and regulations preferred.
Associate's degree in business, healthcare or related field preferred.
Bi-lingual preferred.
Prior Authorization experience in specialty or retail pharmacy preferred.
340B knowledge and experience preferred.
Apexus 340B OnDemand Certificate preferred.
One year of pharmacy technician experience preferred.
Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans’ status.
Other facts
About Nebraska Medicine
Nebraska Medicine, the region’s leading academic health network, serves the Omaha metro and beyond. It offers access to more than 1,400 physicians and over 70 specialty and primary care clinics.
The network's commitment to "Serious Medicine, Extraordinary Care" is upheld by more than 10,000 dedicated employees, and is evident in its two hospitals, Nebraska Medical Center and Bellevue Medical Center, which provide over 800 licensed beds.
Nebraska Medical Center, the state's largest hospital, has been recognized for its excellence by U.S. News & World Report, Becker’s Hospital Review and Forbes.
Together with its research and education partner, University of Nebraska Medical Center (UNMC), Nebraska Medicine strives to transform lives and foster a healthy future for all through top-tier educational programs, groundbreaking research and exceptional patient care.
What you'll do
- The Medication Access Coordinator will assist patients and provider teams in overcoming barriers to medication access, focusing on third-party prior authorization and billing processes. They will also provide comprehensive fiscal options to patients and support the appeals process.
Ready to join Nebraska Medicine?
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