Insurance Reimbursement Specialist

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    "description_html": "<span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>Insurance Reimbursement Specialist</b></span></span></span><br><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Help turn insurance complexities into patient access as an Insurance Reimbursement Specialist. In this role, you’ll help clear the path between coverage, approval, and critical treatment to help make sure patients receive the medications they need without unnecessary delays.</span></span></span><br><br><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>Who We Are</b></span></span></span><br><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Red Chip Enterprises is the premier provider of management services to Hemophilia Treatment Centers that offer outpatient factor programs to their patients. Red Chip works with 18 HTCs in 11 states and has pharmacy licenses in 50 states. </span></span></span><br><br><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>What You’ll Do</b></span></span></span><ul style=\"margin-bottom:11px;\"><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Verify patient insurance eligibility and benefits</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Validate insurance information & resolving discrepancies</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Review and update insurance information in CPR+</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Research payer requirements (online & phone)</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Obtain authorizations and required documentation </span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Communicate coverage details and patient responsibility</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Stay current on payer guidelines and changes</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Partner with internal teams to keep orders moving</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Maintain HIPAA compliance and accuracy standards</span></span></span></li></ul><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>What You Bring</b></span></span></span><ul style=\"margin-bottom:11px;\"><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">High school diploma or equivalent</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Some healthcare and/or insurance knowledge preferred.</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Strong attention to detail and organization</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Strong communication & computer skills</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Ability to multitask in a fast-paced environment with shifting priorities.</span></span></span></li></ul><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>Work Environment</b></span></span></span><ul style=\"margin-bottom:11px;\"><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">100% office-based in Sewickley/Wexford area </span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Fast-paced, team-oriented setting</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">On-site training</span></span></span></li></ul>",
    "description_text": "Insurance Reimbursement Specialist\n Help turn insurance complexities into patient access as an Insurance Reimbursement Specialist. In this role, you’ll help clear the path between coverage, approval, and critical treatment to help make sure patients receive the medications they need without unnecessary delays.\n Who We Are\n Red Chip Enterprises is the premier provider of management services to Hemophilia Treatment Centers that offer outpatient factor programs to their patients. Red Chip works with 18 HTCs in 11 states and has pharmacy licenses in 50 states.\n What You’ll Do Verify patient insurance eligibility and benefits\n Validate insurance information & resolving discrepancies\n Review and update insurance information in CPR+\n Research payer requirements (online & phone)\n Obtain authorizations and required documentation\n Communicate coverage details and patient responsibility\n Stay current on payer guidelines and changes\n Partner with internal teams to keep orders moving\n Maintain HIPAA compliance and accuracy standards\n What You Bring High school diploma or equivalent\n Some healthcare and/or insurance knowledge preferred.\n Strong attention to detail and organization\n Strong communication & computer skills\n Ability to multitask in a fast-paced environment with shifting priorities.\n Work Environment 100% office-based in Sewickley/Wexford area\n Fast-paced, team-oriented setting\n On-site training",
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      "datePosted": "2026-04-09",
      "description": "<span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>Insurance Reimbursement Specialist</b></span></span></span><br><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Help turn insurance complexities into patient access as an Insurance Reimbursement Specialist. In this role, you’ll help clear the path between coverage, approval, and critical treatment to help make sure patients receive the medications they need without unnecessary delays.</span></span></span><br><br><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>Who We Are</b></span></span></span><br><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Red Chip Enterprises is the premier provider of management services to Hemophilia Treatment Centers that offer outpatient factor programs to their patients. Red Chip works with 18 HTCs in 11 states and has pharmacy licenses in 50 states. </span></span></span><br><br><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>What You’ll Do</b></span></span></span><ul style=\"margin-bottom:11px;\"><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Verify patient insurance eligibility and benefits</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Validate insurance information & resolving discrepancies</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Review and update insurance information in CPR+</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Research payer requirements (online & phone)</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Obtain authorizations and required documentation </span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Communicate coverage details and patient responsibility</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Stay current on payer guidelines and changes</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Partner with internal teams to keep orders moving</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Maintain HIPAA compliance and accuracy standards</span></span></span></li></ul><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>What You Bring</b></span></span></span><ul style=\"margin-bottom:11px;\"><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">High school diploma or equivalent</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Some healthcare and/or insurance knowledge preferred.</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Strong attention to detail and organization</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Strong communication & computer skills</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Ability to multitask in a fast-paced environment with shifting priorities.</span></span></span></li></ul><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b>Work Environment</b></span></span></span><ul style=\"margin-bottom:11px;\"><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">100% office-based in Sewickley/Wexford area </span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">Fast-paced, team-oriented setting</span></span></span></li><li style=\"margin-bottom:11px;margin-left:8px;\"><span style=\"font-size:12pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\">On-site training</span></span></span></li></ul>",
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