- AssistRx (Phoenix, AZ)
- The Copay Support / Claims Processing Specialist is a critical role within the organization and is responsible for servicing inbound calls, EOB faxes, and ... manual claim reimbursement, Sites of Care and Health Care Providers. The Copay Support / Claims Processing Specialist will adjudication, troubleshoot claim… more
- AssistRx (Maitland, FL)
- …manufacturers for weekly escrow replenishments and account adjustments. + Partner with Copay Support teams on program setup, funding transitions, and closeout ... medications. Join a collaborative and mission-driven team that's transforming the patient support experience. Position Summary The Copay Accounting Specialist is… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- … assistance programs. This includes call center services (inbound and outbound) and claims processing operations. They are part of a highly concierge 'white ... the direction of the department leader, the Supervisor, Patient Support is responsible for ensuring that their team provides...assurances and ease of use in supporting our client's copay assistance programs. The incumbent will be working in… more
- HCA Healthcare (Denver, CO)
- …otherwise assigned) . Work with defense legal counsel to coordinate the investigation, processing and defense of claims against the facility; records, collects, ... common services at no cost or for a low copay . Plans include prescription drug and behavioral health coverage...Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- Ardon (Portland, OR)
- …be able to accurately utilize applicable computer software and equipment for pharmacy claims processing . Working conditions Work is performed primarily at a ... Performing and reviewing claim submission and reversal Addressing billing exceptions Support accounts receivable processing needs Reports any identified… more
- St. Luke's Health System (Boise, ID)
- …and third-party issues such as prior authorization, step therapy, reviewing denied claims , and processing overrides. Works with an interdisciplinary team of ... + Navigate federal laws that may impact patients from participating in manufacturer copay card programs. + Accurately calculate costs and savings while processing… more
- Walgreens (New Orleans, LA)
- …accordance with company policy. + Process and file all SDL (submit direct link) claims in accordance with company policy. + Processing of prescription exceptions ... billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment in accordance with policy. + Review… more
- Meriter-UnityPoint Health (Madison, WI)
- …obtaining payment information for patients using Meriter Outpatient Pharmacy at discharge, processing test claims for discharge medications, and processing ... computer system, ensuring accurate and efficient adjudication of online claims , counting/measuring and/or reconstituting drug products, compounding medications when… more
- HCA Healthcare (El Paso, TX)
- …+ You will work with defense legal counsel to coordinate the investigation, processing and defense of claims against the facility; records, collects, documents, ... common services at no cost or for a low copay . Plans include prescription drug and behavioral health coverage...Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- Ascendis Pharma (Princeton, NJ)
- …to projected accruals. This individual must possess an in-depth knowledge of claims processing , formulary validation processing , and dispute processes, ... as a trusted advisor on contracting and pricing matters, providing guidance and support as needed. Manage and work closely with external vendors assisting Ascendis'… more
- HCA Healthcare (Manchester, NH)
- …come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. **Benefits** Catholic ... common services at no cost or for a low copay . Plans include prescription drug and behavioral health coverage...Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- HCA Healthcare (Dallas, TX)
- …incidents of work injury or illness + Manages and ensures the timely processing of worker's compensation claims . Communicates with department directors and ... has committed up to $300 million in programs to support our incredible team members over the course of...common services at no cost or for a low copay . Plans include prescription drug and behavioral health coverage… more
- HCA Healthcare (Tallahassee, FL)
- …coverage that covers many common services at no cost or for a low copay . Plans include prescription drug and behavioral health coverage as well as free telemedicine ... Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny...records for appeals, and missing information needed to get claims paid.** 1. **Review patient accounts in billing system… more
- HCA Healthcare (Nashville, TN)
- …regulatory compliance in areas such as patient care, inventory management, billing, and claims processing . Based on this analysis, the architect will make ... common services at no cost or for a low copay . Plans include prescription drug and behavioral health coverage...Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- UPMC (Pittsburgh, PA)
- …of UPMC is hiring a Full Time Pharmacy Technician, Intermediate to support the Inpatient Pharmacy, Satellite Pharmacies and Travel to Outlying Hospital Clinics. ... and regulatory standards, verify accuracy and proper handling of pharmaceuticals to support safe and consistent patient care across all clinic locations. +… more
- HCA Healthcare (Niceville, FL)
- …illnesses. Prepares and conducts ongoing health inservices. Ensures the timely processing of employee workers' compensation claims ; evaluates occurrence reports ... common services at no cost or for a low copay . Plans include prescription drug and behavioral health coverage...Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- CVS Health (Monroeville, PA)
- …and partnering with account managers as needed in order to ensure accurate claims processing + Manage the Pharmacy benefit SalesForce.com Specialty Pharmacy ... environment to help resolve patient account balances and PBM Client inquiries. We will support you by offering all the tools and resources you need to be successful… more
- 32BJ Benefit Funds (New York, NY)
- …knowledge base of healthcare industry and medical terminology + Insurance/managed care and claims processing background a plus. Work Hours: 35 Total (Available ... the Health Services Team. Additionally, this position provides other operational support activities within the Health Services Team. Principal Duties and… more
- Molina Healthcare (Augusta, GA)
- JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching ... Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains… more