Walgreens

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Reimbursement Specialist, EDI

at Walgreens

Posted: 7/15/2015
Job Status: Full Time
Job Reference #: 311361
Keywords:

Job Description

The position(s) described here are for Walgreens Infusions Services, a former subsidiary of Walgreens Co. (“Walgreens”).  Walgreens Infusion Services became a new independent, privately-held company on 4/7/2015 following the acquisition of a majority interest in the company by Madison Dearborn Partners, a leading private equity firm based in Chicago.  Walgreens will retain a significant minority interest in the new company and will have representatives on the company’s board of directors. As such, Walgreens will continue to have a role in ensuring the future success of the new company

 

Job Responsibilities: The Reimbursement Specialist, EDI is responsible for electronic transactions between our organization and our payers (includes Medicare, Medicaid, managed care payers, commercial insurance carriers, and patients).

Assists branch offices in electronic transmission of claims and remittances. Communicates with branch offices on projects extracted to Corporate. Collaborates with branch Reimbursement Department to ensure processes are in place to enable timely and accurate electronic billing and collections. Completes provider enrollment applications. Creates user logins for several provider portals. Participates in project progress calls, presenting progress success/failure information with plans of action. assists in the creating and evaluating of documentation and training materials.   

Minimum Requirements:

  • High School Diploma or equivalent.
  • Intermediate level skill in Microsoft Word and Excel.

Preferred Qualifications:

  • Previous EDI experience.
  • Previous reimbursement experience in Infusion/Home Health.


Required Skills

Assists branch offices in electronic transmission of claims and remittances.  Communicates with branch offices on projects extracted to Corporate.

Collaborates with branch Reimbursement Department to ensure processes are in place to enable timely and accurate electronic billing and collections.

Responsible in completing provider EDI enrollment applications.

Responsible in creating user logins for several provider portals.

Participates in project progress calls, presenting progress success/failure information with plans of action.

Responsible for assisting in the creating and evaluating of EDI documentation and training materials.

Responsible for maintaining confidentiality of patient and proprietary information.  Complies with leagl and ethical guidelines for safeguarding the confidentiality of patient and proprietary Option Care information.



Required Experience