Reimbursement Specialist - Pharmacy

Work Schedule:
100% FTE; day shift. Monday - Friday 8:00AM - 4:30PM. This is a hybrid position, which may require up to two (2) days per month on-site. When in the office, you will work at 7974 UW Health Ct in Middleton, WI. Hours may vary based on the operational needs of the department.

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Join the #1 hospital in Wisconsin!

We are seeking a Reimbursement Specialist - Pharmacy to:

• 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.
• Demonstrate strong task management and attention to detail, working both collaboratively with a team as well as independently.

The ideal candidate would have knowledge of pharmacy billing systems and background with Medicare, Medicaid and commercial insurance claim adjudication.

At UW Health, you will have:

• An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
• Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
• Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
• Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
• The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions.
  

Qualifications

• High School Diploma or equivalent Required
• Associate's Degree in Business, Finance, Health Information Management, or related field Preferred

Work Experience

• 2 years of experience in a healthcare revenue cycle or clinic operations role Required
• 1 year of pharmacy experience in a retail pharmacy setting Preferred
• Epic experience Preferred

Our Commitment to Social Impact and Belonging

UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

UW Health Administrative Facilities - UW Health has administrative locations throughout Madison and beyond where thousands of employees provide vital support to our clinical areas. These locations are home to departments such as Access Services, Compliance, Human Resources, Information Services, Patient Medical Records, Payroll and many others.