Reimbursement Specialist
Company: University Health
Location: San Antonio
Posted on: January 5, 2026
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Job Description:
POSITION SUMMARY/RESPONSIBILITIES Identifies and enrolls
indigent and under-insured patients into drug assistance
reimbursement programs which provide drug replacement and
reimbursement compensation. Monitors contain eligibility status and
document drug shipments received through a computerized tracking
system. Serves as a resource in facilitating resolution of
insurance denial referrals. Communicates effectively with pharmacy,
hospital administration, medical staff, patients and personnel in
the patient assistance programs using verbal and written
interpersonal communication skills. Requires the ability to work
independently and coordinate assigned projects efficiently.
Effectively utilizes problem-solving ability, significant
interpersonal contact and concentration abilities, analytical
skills and in-depth knowledge of computer software. Coordinates all
information regarding patients enrolled in assistance programs for
drug therapies using various computer software programs. Creates,
expands and maintains computerized databases to support patient
enrollment in assistance programs and tracks case-specific
assistance provided in response to reimbursement denials. Conducts
patient interviews and conveys reimbursement denial potential to
patients and medical staff. Reviews all outpatient 3rd party
rejections and assists the patient in resolving the problem.
Coordinates 3rd party billing, problems with eligibility,
rejections, etc. with the Outpatient Pharmacy Supervisor and the
Pharmacy Billing Section. EDUCATION/EXPERIENCE Texas State Board of
Pharmacy registration required. National Certification as a
Certified Pharmacy Technician (CPhT) is recommended. Three (3)
years' experience in a medical or pharmacology-related field to
include project coordination; database/spreadsheet development and
management; and/or application programming; processing and
overseeing medical insurance billing and reimbursement cost capture
is preferred. Must have demonstrated independent judgment
Keywords: University Health, San Antonio , Reimbursement Specialist, Healthcare , San Antonio, Texas
