If you’re detail-obsessed and like cleaning up messy billing problems before they become fires, this is your lane. You’ll support specialty pharmacy reimbursement by tracking claims, reducing discrepancies, and helping ensure copay assistance gets processed correctly.
About Lumicera
Lumicera Health Services (powered by Navitus) is a specialty pharmacy organization focused on transparency and stewardship to improve patient outcomes. They operate with a creative, diverse, and service-driven culture.
Schedule
- Full-time, Remote
- Work hours: Monday–Friday, 10:30 AM–7:00 PM
- Pay range: $18.67 – $21.96 per hour
- Bonus: Not eligible
- Remote restriction: Not available to residents of Alaska, Connecticut, Delaware, Hawaii, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, Nebraska, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, or Wyoming
What You’ll Do
- Monitor claims activity to ensure accuracy and successful submission
- Set up patient billing information correctly in pharmacy software
- Maintain reference info related to reimbursement and copay assistance
- Respond to employee, patient, and client questions or complaints about reimbursement or billing
- Partner with internal teams to troubleshoot and resolve claim issues
- Document insurance and prescription or order details accurately in patient profiles
- Participate in reimbursement and billing-related meetings as needed
- Help reduce discrepancies, inaccuracies, and outstanding balances
- May assist with contacting patients who have an outstanding balance to discuss billing options
- Follow all applicable legal, ethical, and compliance standards
- Handle other related duties as assigned
What You Need
- High school diploma or GED (some college preferred)
- CPhT preferred
- Pharmacy technician license or trainee license strongly preferred in states that require licensure
- Preferred experience: pharmacy, health plan, or clinical insurance claims billing; benefit assessments; billing or claims documentation; or claims auditing
- Ability to follow compliance program requirements and work respectfully across teams
Benefits
- Health, Dental, Vision
- 20 days PTO
- 4 weeks paid parental leave
- 9 paid holidays
- 401(k) match up to 5% (no vesting requirement)
- Adoption assistance
- Flexible Spending Account
- Educational assistance + professional membership support
- Referral bonus up to $750
Real talk: the easiest way to stand out on this one is to make your resume scream “claims accuracy + documentation + fixing denials/discrepancies” even if you did it in a different setting.
Happy Hunting,
~Two Chicks…