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George Washington University - Department of Speech, Language, and Hearing Sciences

Washington, D.C.

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Duke University Health System

Raleigh, North Carolina

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Pharmacy Reimbursement Specialist II
Description Pharmacy Reimbursement Specialist II JOB SUMMARY: Evaluates reimbursement of medications provided to inpatients, clinic patients and patients receiving prescriptions through the outpatient pharmacy network. Works with multidisciplinary groups to develop proper procedures and programs to maximize reimbursement. Facilitates process and system improvements to reduce the likelihood of occurrence of loss of reimbursement relating to pharmaceuticals. Assists with maintaining drug and payer data files in the dispensing system. Works with dispensing staff and/or Payor Help Desk Staff to troubleshoot issues with medication claims &, when needed, editing / resubmitting claims in the OP dispensing system. KEY RESPON


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