Licensed Reimbursement Therapy Representative

Job Title: Reimbursement Specialist - Therapy

Location: Remote – MUST RESIDE IN ILLINOIS & HOLD AN IL PHARMACY TECH CERTIFICATION

Industry: Healthcare / Specialty Pharmacy

Pay: $21 – $24 per/hour (based on experience)

About Our Client:

Addison Group is working with a well-established organization in the specialty pharmacy space. This company is recognized for its commitment to patient care and its innovative approach to pharmaceutical access and reimbursement support.

Job Description:

The Licensed Reimbursement Therapy Representative will support the full reimbursement cycle for manufacturer-specific pharmacy programs. This includes billing, collections, A/R resolution, documentation, and order processing. The role is remote but requires residency in Illinois and strong coordination skills in a high-volume environment.

Key Responsibilities:

• Manage billing and collections for assigned pharmaceutical assistance programs
• Investigate and resolve high-dollar A/R and reimbursement issues
• Support internal audits and collaborate on process improvements
• Process and update new and refill patient orders in system workflows
• Confirm and document deliveries, order statuses, and insurance details
• Review and interpret payer contracts and explanation of benefits (EOBs)
• Submit necessary documentation for reimbursement and assistance programs

Qualifications:

• Active Illinois Pharmacy Technician License and National Certification (CPhT)
• Minimum 3 years of experience in benefit verification, billing, and collections in a specialty pharmacy environment
• At least 2 years of experience with A/R and reimbursement (both Major Medical and Pharmacy)
• Familiarity with authorization and appeal processes
• Experience with foundation assistance applications and reimbursement documentation
• High School Diploma required ; Associate’s or Bachelor’s degree preferred
• Proficiency in basic Excel functions (sort, filter, documentation) — must pass Excel test
• Strong problem-solving and investigational skills
• Self-motivated, proactive, and detail-oriented

Additional Details:

• Type: Contract
• Duration: ASAP through March 2026
• Schedule: Monday–Friday, 8:00 AM – 5:00 PM CST
• Remote: 100%, but must reside in Illinois

Perks:

• Fully remote work
• Long-term assignment through 2026
• The position is eligible for medical, dental, vision, and 401(k).

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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