Reimbursement Specialist – Pharmacy

Reimbursement Specialist – Pharmacy managing pharmacy claim billing and supporting audit activities at UW Health, the #1 hospital in Wisconsin.

Posted 5/12/2026full-timeMiddleton • Wisconsin • 🇺🇸 United StatesJuniorMid-Level💰 $21 - $28 per hourWebsite

Key responsibilities & impact

Manage pharmacy claim billing, including identifying and resolving adjudication rejections to ensure accurate and timely processing
Support pharmacy audit activities by preparing required documentation, reviewing claims, and assisting with compliance efforts
Deliver excellent customer service through clear communication, problem solving, and support to internal and external partners
Demonstrate strong task management and attention to detail, working both collaboratively with a team as well as independently

What you’ll need

High School Diploma or equivalent Required
Associate's Degree in Business, Finance, Health Information Management, or related field Preferred
2 years of experience in a healthcare revenue cycle or clinic operations role Required
1 year of pharmacy experience in a retail pharmacy setting Preferred
Epic experience Preferred

Comp & perks

An excellent benefits package, including health and dental insurance
Paid time off
Retirement plans
Two-week paid parental leave
Adoption assistance
Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance
Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being
Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement
The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

pharmacy claim billingadjudication rejectionscompliancehealthcare revenue cycleclinic operationspharmacy experienceEpic

Soft Skills

customer servicecommunicationproblem solvingtask managementattention to detailcollaborationindependence

Certifications

High School DiplomaAssociate's Degree