Medication Access Coordinator - Medical Billing

Shift:

Medication Access Coordinator - Medical Billing

Home Infusion (Reimbursement Specialist)

Role Highlights

Nebraska Medicine is now accepting applications for an experienced Medication Access Coordinator to join our Retail/Specialty Pharmacy team, focusing on home infusion medical billing. This position is based at our Central Fill location (approx. 114th and Dodge in Omaha, NE) with the option to work remotely. Candidates must reside in Nebraska or Iowa.

Also known as: Medical Billing, Reimbursement Specialist, Pharmacy Advocate, Pharmacy Insurance Tech, Pharmacy Technician, Pharmacy Financial Counselor

What You'll Do

• Conduct home infusion medical billing benefit investigations

• Complete prior authorizations and insurance appeals

• Remove medication access barriers and support patients with coverage needs

• Apply expertise in DME billing, payer-specific infusion coverage guidelines, and home infusion services

• Document and follow up in a fast-paced, desk-based environment

What We're Looking For

• Minimum of 3 years' experience in retail/specialty pharmacy insurance or payer systems (Medicaid, Medicare, or private insurance)

• Preferred: Home infusion experience

• Familiarity with CPR+ or CareTend software

• Strong problem-solving and patient advocacy skills

• Detail orientation with excellent documentation and follow-up

Shift & Schedule

• Full Time - 1.0 FTE (80 hours per pay period)

• 8-hour shifts, Monday-Friday (start times between 7:00 AM and 11:00 AM)

• Hybrid schedule: office and work-from-home flexibility

Why Work at Nebraska Medicine?

• Together. Extraordinary. Join a team that values your skills and collaboration.

• Leading Health Network. Partner with UNMC to transform lives through education, research, and patient care.

• Dignity and Respect. We reflect and celebrate the diverse communities we serve.

• Educational Support. Up to $5,000/year in tuition assistance, 35% off Clarkson College, and advancement opportunities with covered costs.

Be part of something extraordinary at Nebraska Medicine!

If you have questions about applying, contact the recruiter: Kegan Casey - kecasey@nebraskamed.com

Medication Access Coordinator - Medical Billing:

Determine, support, and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third party prior authorization and billing processes for pharmacy benefits. Assist patients within enrollment into grants, assistance programs, and communicate any financial responsibilities. Provide a Face-to Face/virtual beside oriented service that delivers comprehensive fiscal options to patients. Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and previous medications to third party. Verify eligibility, pharmacy benefit provisions and support the appeals process.

Required Qualifications:

• Minimum of three years healthcare and/or insurance/third party reimbursement experience.

• High school education or equivalent required.

• Excellent interpersonal skills and the ability to successfully interact with a variety of internal and external customers at all levels required.

• Ability to solve problems independently and must be strongly vested in team management required.

• Ability to multi-task and excel in a dynamic environment required.

• Experience with various computer mainframe, network, web based and payer applications required.

• Must register with the State of NE as a pharmacy technician required.

• Must complete Pharmacy Technician Certification within one year required.

Preferred Qualifications:

• Knowledge of commercial, Medicare B, Medicare D, and Medicaid pharmacy rules and regulations preferred.

• Associate's degree in business, healthcare or related field preferred.

• Bi-lingual preferred.

• Prior Authorization experience in specialty or retail pharmacy preferred.

• 340B knowledge and experience preferred.

• Apexus 340B OnDemand Certificate preferred.

• One year of pharmacy technician experience preferred.