- BrightSpring Health Services (Uniondale, NY)
- …Specialist - 3rd Party: + Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate ... a retail to office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician experience and/or knowledge of… more
- TEKsystems (Cary, NC)
- Job Posting: Claims Processing and Pharmacy Reimbursement Specialist Location: Cary, NC (Onsite Only) Schedule: Monday-Friday, 9am-6pm Job Description: We ... are seeking a dedicated Claims Processing and Pharmacy Reimbursement ...insurance companies to verify eligibility and coverage for drug benefits . + Serve as a liaison between special drug… more
- CareOregon (Portland, OR)
- …Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Benefit Specialist II Exemption Status Non-Exempt Department ... Pharmacy Manager Title Pharmacy Benefit Operations Supervisor Direct Reports n/a...claims processing as it pertains to the CareOregon pharmacy benefits and coverage of drugs under… more
- CenterWell (Atlanta, GA)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... of our caring community and help us put health first** As an **Accounts Receivable Specialist /Healthcare Claims Denials Specialist ** , you will: + Ensure the… more
- BrightSpring Health Services (Oklahoma City, OK)
- …healthcare professionals. The Adjudication Specialistwill be responsible for all aspects of pharmacy and medical claims adjudication, accuracy of pharmacy ... and medical claims , resolution of third-party rejections, and coordination of benefits . SCHEDULE: Monday - Friday 10:00am - 6:30pm * Medical, Dental & Vision … more
- UT Health (Houston, TX)
- Project Specialist - Texas All-Payor Claims Database - Hybrid **Location:** Texas Medical Center-Houston, Texas **Hot** **Category:** Engineering UTHealth ... come in. **We are looking for a Full-Time Project Specialist to join the UTHealth School of Public Health...Database (TX-APCD) project, which collects administrative data for medical, pharmacy , and dental claims along with eligibility… more
- Elderwood (Buffalo, NY)
- …Pharmacy Technician experience in retail, long term care or hospital. + Experience with Pharmacy claims and various types of pharmacy billing preferred + ... Salary Starting at $18.00 / hour Overview Pharmacy Billing Specialist Starting Pay Rate...electronic billing of Medicare, Medicaid and Third Party Insurance claims , utilizing Frameworks LTC Pharmacy system. This… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Pharmacy Operations Specialist is responsible for supporting the operational functions of Commonwealth Care Alliance ... (CCA) pharmacy program. Operational functions include: claims oversight...for timeliness of PAs processed by PBM **EXPLANATION OF BENEFITS (EOBs)** + Monthly review of EOBs to ensure… more
- Robert Half Accountemps (Indianapolis, IN)
- … Billing Specialist , you will be responsible for handling all aspects of pharmacy claims and ensuring timely collection of payments for pharmacy ... Description We are in search of a Pharmacy Billing Specialist based in Indianapolis,...Responsibilities: * Assist in the preparation and submission of pharmacy claims to third party insurance carriers.… more
- CVS Health (Greensburg, PA)
- …in the Monroeville area, has an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit balance resolution via ... communities. The Company offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k) retirement savings plan,… more
- Ardon (Portland, OR)
- …applications. Ability to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial ... to grow, we are seeking a Billing & Insurance Specialist to join our award-winning specialty pharmacy ...Team member, you will conduct insurance reviews, process prescription claims , and communicate with benefit providers, patients,… more
- Henry Ford Health System (Bingham Farms, MI)
- GENERAL SUMMARY: The Pharmacy Billing Specialist is responsible for the Henry Ford Pharmacy patients account payments and deposits across all pharmacy ... + Provide support to internal and external customers regarding pharmacy copays, claims rejections, rebills, etc. +...Ford academic healthcare campus. Learn more at henryford.com/careers . Benefits The health and overall well-being of our team… more
- St. Luke's Health System (Boise, ID)
- …of colleagues, St. Luke's is truly a great place to work. We are seeking a Pharmacy Business Specialist to join our Pharmacy Administrative team. This is a ... **NEW** position created to support the pharmacy service line, which encompasses a wide range of...and HIPAA + Knowledge of reimbursement practice and electronic claims processing + Experience with EPIC Willow Ambulatory **What's… more
- SSM Health (St. Louis, MO)
- …authorization services. Develops a thorough understanding of payer reimbursement and patterns for pharmacy and medical claims with third parties. + Serves as ... include but are not limited to third party payers, manufacturers, prescription benefit management companies, external pharmacy personnel, and referring providers… more
- Intermountain Health (Broomfield, CO)
- … team. Schedule Monday-Friday, 730-4 or 8-430, no weekends or holidays Scope As a Pharmacy Tech Medication Compliance Specialist you need to know how to: Improve ... pharmaceutical care. The incumbent participates in many procedural aspects of pharmacy practice under the supervision of a licensed pharmacist or technician… more
- Elevance Health (Altamonte Springs, FL)
- **Be Part of an Extraordinary Team** _BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of ... and personalized support throughout the consumer's treatment journey._ **Title** : Billing Specialist Sr **Location:** Hybrid position, will work 2-3 days onsite at… more
- Option Care Health (Orlando, FL)
- …and retaining a diverse workforce. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... partners feel Option Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to prepare patients for OCH… more
- Bank of America (New York, NY)
- …the Business Group on Health. This individual will be responsible for executing on the Pharmacy Benefits Strategy and driving all aspects of the design of ... requires subject matter expertise in the design, implementation, and management of pharmacy benefits programs at large employers. Experience managing multiple… more
- Meriter-UnityPoint Health (Madison, WI)
- …be a combination of the Ambulatory Pharmacy Technician and the Discharge Specialist Pharmacy Technician, but primary area of responsibility will be in the ... for maintaining high personal standards of customer service and satisfaction. The Discharge Specialist Pharmacy Technician is a position in the Outpatient … more
- Providence (Spokane Valley, WA)
- **Description** The Pharmacy Billing Specialist is responsible to proactively audit, monitor, and analyze complex dispensing and charging information, processes ... + 3 years of experience in health care or pharmacy billing, collections or medical claims processing....specialty setting (eg long term care, infusion or specialty pharmacy ). **Why Join Providence?** Our best-in-class benefits … more