- Hackensack Meridian Health (Eatontown, NJ)
- …of prescription claims . **Responsibilities** A day in the life of a Pharmacy Claims Specialist at Hackensack Meridian _Health_ includes: 1. Submit ... and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how...a leader of positive change. Responsible for long-term care pharmacy third party billing functions as assigned by the… more
- CVS Health (Monroeville, PA)
- … in the Monroeville area, has an opportunity available for a full time Pharmacy Claims Biller/Adjustment Specialist . As a Biller/Adjustment Specialist , ... you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance… 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 ... part of our caring community and help us put health first** As a **Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure… more
- AmeriHealth Caritas (Robbinsville, NJ)
- …efficiency, and integrate services. For more;information, visit www.performcare.org **Summary:** The Claims Eligibility Specialist is the point of contact for ... to resolving discrepancies in coverage, eligibility, enrollment, and billing, the Claims Eligibility Specialist reviews, researches, and investigates claims… more
- Walgreens (Deerfield, IL)
- …viewing presentations). **Preferred Qualifications:** + At least 2 years experience in pharmacy claims processing. We will consider employment of qualified ... Equal Opportunity Employer, including disability/veterans". **Job ID:** 1523205BR **Title:** Specialist 3rd Party Rx Ops Pharmacy Tech...and at least 1 year of experience in retail pharmacy , medical claims processing, and/or third party… 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
- 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
- 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
- Medical Mutual of Ohio (OH)
- … Pharmacy Benefit Manager (PBM) vendor for processing of pharmacy claims , accumulator transfers, performance guarantees, provisioning, and adjustments. . ... internal teams with processes specific to group billing of pharmacy claims processes, preparation of annual regulatory...prescription drug management (PBM) company. . Knowledge of PBM benefits set up, claims processing, and related… more
- Sanford Health (Fargo, ND)
- …time **Weekly Hours:** 40.00 **Salary Range:** $15.00 - $23.00 **Job Summary** The Pharmacy Business Office Specialist , supports retail pharmacy operations. ... , this could be the place for you. The Pharmacy Business Specialist is a unique position...- CARS (Cash Reconciliation Solutions) - Tills - Insurance benefit verification for our Home Infusion book of business… 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
- SSM Health (Madison, WI)
- …the healing power of presence begins with compassionate employees like you. As a Pharmacy Access Specialist , you've chosen a career where patients matter-a lot. ... The Pharmacy Access Specialist plays an integral role...a thorough understanding of payer reimbursement and patterns for pharmacy and medical claims with third parties.… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Opening Date 11/25/2024 + Description + Benefits Supplemental Information Please clickHERE (https://ulsuno.wd1.myworkdayjobs.com/en-US/UniversityOfNewOrleans/job/ ... Pharmacy Provider Fee Specialist Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4741115)...+ Communicates with the Louisiana Department of Insurance when Pharmacy Benefit Managers (PBM) are found to… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** As a member of the pharmacy team, the Contract Specialist manages and coordinates all financial information with third party plans to ensure ... customer service, problem solving and collaboration skills to support and manage pharmacy revenue management activities. The Contract Specialist will also be… more
- Publix (Lakeland, FL)
- … unsaleables process + Responsible for managing and improving the aging report on unpaid pharmacy claims , collecting money for all pharmacy 3rd party sales ... **31221BR** **Position Title:** Sr. Collections Specialist - Pharmacy , Accounts Receivable -...Annual Base Pay:** 40,872 - 56,368 **Zip Code:** 33811-3311 ** Benefits Information:** + Employee stock ownership plan that contributes… 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
- SSM Health (Madison, WI)
- …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
- Elevance Health (Mason, OH)
- ** Pharmacy Quality Assurance Specialist ** **Location:** The employee must live within 50 miles of an open access Elevance Health PulsePoint (within 50 miles of ... work in the office 1-2 days per week. The ** Pharmacy Quality Assurance Specialist ** will be responsible...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… 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