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Pharmacy Reimbursement Specialist
Description Pharmacy Reimbursement Specialist 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. KEY RESPONSIBILITIES: Clarify and trend pharmaceutical denials and underpayments of the highest cost drugs and other drugs. Utilizes data from finance and pharmacy systems to determine reimbursement rates for pharmaceuticals for vari


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