6 jobs found in Temecula

Position Summary The Reimbursement Specialist is a pivotal position requiring excellent communication skills, independent judgment, and ability to interact with private, state and federal payer representatives, fiscal intermediaries, case managers, pharmacy partners and nufactor field personnel in the role of coordinating reimbursement from product dispensing through to completion and final resolution of the payment cycle. Incumbent shall possess basic knowledge of reimbursement principles as well as the structure of various private, federal and state payer entities and the specific program issues related to each. Essential Functions and Duties • Submit and/or follow-up on payer claims. This may include; primary, secondary, tertiary claims and/or patient statements. Verify accuracy of payments according to the payer’s fee schedule. • Possess a basic understanding and ability to audit accounts receivables: analysis of payments, contractual discounts and/or...

Position Summary Coordinates and assists with the marketing activities which may include fulfilling and producing collateral requests, inventory control, shipping and receiving, bulk mail production, editing and compiling mailing databases, mail merges, accounting support, and general administrative duties to support departmental requests. Essential Functions and Duties Marketing Project Support • Fulfills and produces marketing collateral requests for internal and external customers. • Organize and maintain mailing database, executing mail merges, and collating direct marketing materials for customer campaigns such as monthly bulk mailers, educational packets, presentations, annual holiday cards and calendar mailings, and training manuals. • Maintain and update Department SOPs • Provide additional admin department support. Inventory Control • Monitors and maintains current inventory levels • Receives, unpacks, and delivers goods; re-stocks items as...

• The Vistex Solution lead will be responsible in Architecting, Designing, Configuring and developing technical enhancements of all the modules of Vistex software. The Solution lead will gather business requirements and help in designing, building, testing and deploying the business process. The Vistex solution lead will be integral part of the SAP team and will strive for continuous improvement in the pricing & contracts, chargeback, rebates, and the sales operations functional areas. Essential Functions and Duties • Architect and Design an appropriate solution in SAP S/4 HANA using the latest Vistex solutions. • Implement, Manage and Optimize new and existing process in Vistex • Gather business requirements, perform analysis, design, configuration, testing and user adoption related activities • Support users, diagnose and resolve system problems, implement new modules as a part of a team and modify existing programs to fit the business need •...

NATURE AND SCOPE: NuFACTOR® facilitates the delivery of specialty pharmacy products and services for chronically ill patients throughout the United States. The Client Services Specialist is responsible for many aspects of the patient’s care. Including but not limited to on-going patient support services, obtaining patient update, orders, service needs, placing medication orders, coordination of clinical needs, understanding of Immune and Coagulopathy Disease states and their medication and management needs for home administration. The CSS is responsible for being the liaison between the patients and our contracted nursing partners as well as the other divisions of the company. The CSS partners with all other departments to proactively care for all aspects of our services that directly impact our patient services, corporate values and patient retention. PRINCIPAL ACCOUNTABILITIES: Promote the NuFACTOR® service model, product lines and positive corporate image....

Position Summary This position is responsible for the office services functions stated below, including the processing of incoming and outgoing packages, outgoing mail, office supplies, stationary, and business machine maintenance as specified below. This position also assists all employees with their business needs related to the above. This position interacts on a regular basis with employees and management, as well as current and prospective vendors. Essential Functions and Duties Stocking Supplies, Mail & Deliveries: • Weekly processing of mail for employees working outside Temecula office, via FedEx and/or USPS, at lowest possible rate whenever possible, and determining if mailing items is cost effective. • Responsible for the purchase and research of said supplies and services at a cost-effective rate. • Conduct daily mail runs twice a day. Pick up mail & FedEx packages from the designated mail stops throughout the building at the scheduled pick up...

Essential Functions and Duties • Assist the Intake and Authorizations department with follow up calls to health plans. • Document all calls and statuses in nufactor system of record. • Assist with annual benefit verifications. • Assist with monthly online insurance verifications. • Adheres specifically to all company policies and procedures, Federal and State regulations and laws. • Display dedication to position responsibilities and achieve assigned goals and objectives. • Represent the Company in a professional manner and appearance at all times. • Understand and internalize the Company’s purpose; Display loyalty to the Company and its organizational values. • Display enthusiasm and dedication to learning how to be more effective on the job and share knowledge with others. • Work effectively with co-workers, internal and external customers and others by sharing ideas in a constructive and...