Randstad Administrative Assistant in Chesapeake, Virginia

Administrative Assistant

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job details:

  • location:Chesapeake, VA

  • salary:$14.50 - $16.50 per hour

  • date posted:Friday, October 6, 2017

  • job type:Contract

  • reference:22824

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Job Title: Reimbursement Specialist

Job Summary:

The Reimbursement Specialist strives to eliminate barriers to reimbursement and access in patients with complex and rare medical conditions. The Reimbursement Specialist, reporting to the Program Manager or Program Supervisor, navigates patient's healthcare insurance, performs administrative functions and interacts with key stakeholders in a call-center environment.

Reimbursement specialists require personal integrity, strong empathy, a high level of accuracy and superb attention to detail.

Key Job Responsibilities:

(Duties may include, but not limited to all or some of the following)

  • Accurately interprets patient insurance, prescription and other health-related documentation

  • Conducts medical and pharmacy benefit insurance verifications and investigations for commercial and government payors

  • Communicates with insurance companies, patients, providers and prescribers to coordinate reimbursement and access solution

  • Researches available alternative funding options to reduce patient's financial burden

  • Handles high call volumes in a call-center environment

  • Communicates with internal and external departments to facilitate coordination of care

  • Reports Adverse Events (AE) and Product Quality Complaints (PQC), as required and as per policy

  • Strictly adheres to Standard Operating Procedures (SOPs)

  • calls

  • Analyzes records to transcribe appropriate ICD-9, ICD-10, CPT, HCPCS codes

  • Validates and enters prescription orders

  • Completes casework in a timely manner with consistent follow-up as the accountable case manager

  • Maintains patient confidentiality

  • Advocates on behalf of the patient to problem-solve reimbursement and access issues

  • Understands prescription drug benefit management techniques including Formularies, Prior Authorizations, etc.

  • Performs clerical and administrative functions such as mailing and faxing correspondence, data entry, scheduling, etc.

  • Validate licensed practitioners

Job Qualifications:


Required: Associates degree or equivalent work experience is required

2 - 3 years in pharmacy, managed care, Medicaid and/or Medicare organizations, pharmaceutical and/or biotech manufacturer, medical office, or related similar field

Preferred: 1+ years within Specialty Medical Practice - ie. GI, infusion, oncology, eye care

Bachelor's degree

Buy and bill background

Prior experience with scheduling patients

Knowledge of Medical Terminology

Working knowledge or experience with resolving drug reimbursement issues

Knowledge of HCPCS, CPT and ICD-9/10 billing and/or coding

Certification as Pharmacy Technician is plus

Knowledge of US private and government payors

Working knowledge of Microsoft Office (Word, Excel, Outlook)


Required: Customer focused

Fast and accurate data entry

Clear, pleasant speaking voice

Excellent communication skills (oral and written)

Ability to handle multiple tasks and troubleshoot issues

Ability to work with little or no supervision

Ability to adapt quickly to changing environment

Team player/consensus builder

Ability to interact with a diverse group

Project management skills

Ability to calculate figures such as discounts and percentages

Able to work a rotational shift between the hours of 7:45am and 8:15pm - Mon to Fri


  • Medical, Dental, and Vision Insurance

  • 401K Plan with Company Match

  • Life and AD&D Insurance