• Pharmacy Claims

    CenterWell (Columbus, OH)
    **Become a part of our caring community and help us put health first** The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process ... pharmacy claims for payment. The Pharmacy Claims Representative 2 performs...data and provide financial support. Humana is seeking a Patient Finance Specialist that will work on the behalf… more
    CenterWell (10/25/24)
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  • Pharmacy Customer Service…

    TEKsystems (Cary, NC)
    Representative opportunity in Cary, North Carolina! Description The Customer Service Representative is an important role in the Pharmacy Operations and is ... responsible for handling inbound and outbound pharmacy calls, scheduling refill deliveries when needed and directing...able to show empathy to patients. + Run medical claims and update concise progress notes to ensure other… more
    TEKsystems (10/19/24)
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  • Pharmacy Customer Service…

    TEKsystems (Cary, NC)
    …The Customer Service Representative is an important role in the Pharmacy Operations and is responsible for handling inbound and outbound pharmacy ... be able to show empathy to patients. Run medical claims and update concise progress notes to ensure other...information and provide copies of invoices upon request. Answer patient questions and concerns during refill scheduling and transfer… more
    TEKsystems (10/22/24)
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  • Customer Service Representative , Medicare…

    Molina Healthcare (Richmond, KY)
    **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies have access to all ... These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs… more
    Molina Healthcare (10/03/24)
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  • Special Billing Patient Account…

    Guidehouse (Birmingham, AL)
    …**:** None **Clearance Required** **:** None **What You Will Do** **:** The ** Patient Account Representative (PAR)** serves as an extension of a client's ... Revenue Cycle Management, including transplants, workers' compensation, VA, specialty pharmacy , and miscellaneous agency work. This role involves both in-coming… more
    Guidehouse (10/12/24)
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  • Patient Account Representative

    Robert Half Office Team (Richmond, CA)
    Description We are seeking a Patient Account Representative to join our healthcare team in Richmond, California. In this role, you will be responsible for ... a plan to meet the needs for registration, scheduling, billing/ claims inequities, and general questions. * Assist in resolving...patient 's medical record at the time of the patient 's visit. * Relay Clinician instructions/orders to pharmacy more
    Robert Half Office Team (09/28/24)
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  • Senior Billing Representative - Orlando, FL…

    CVS Health (Orlando, FL)
    …a full time Senior Billing Representative the candidate will work in a pharmacy operation setting at our Patient Financial Service Centers, supporting the ... will follow up on payment denials and underpayments on patient 's accounts, working with payers to ensure that all...and/or medical coding and billing with full understanding of Pharmacy , Medical and Pharmacy DME claims more
    CVS Health (09/26/24)
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  • Outpatient Pharmacy Technician-PRN

    Broadlawns Medical Center (Des Moines, IA)
    GENERAL DESCRIPTION The Outpatient Pharmacy Technician assists with the preparation and dispensing of medications for patients served by Broadlawns Medical Center ... Outpatient Pharmacy . All duties are performed under the direct supervision...or their representatives at the pick-up window. If a patient requires medication counseling, notifies a phrmacist of the… more
    Broadlawns Medical Center (10/11/24)
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  • Billing Representative

    Specialty Rx, Inc. (Ridgefield Park, NJ)
    …NYM when necessary. + Follow up and resolved pending billing issues. Billing Pharmacy Representative Requirements: + HS diploma or equivalent. + Courteous and ... Job Description SpecialtyRx is a full-service pharmacy . We need Billing Representative with...environment is a must. + Experience in New York Pharmacy billing claims . (Preferred) + Frameworks/ECM knowledge… more
    Specialty Rx, Inc. (10/16/24)
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  • Pharmacy Technician

    SpartanNash (Wyoming, MI)
    …stocking products, providing customer service, utilizing the computer systems to maintain patient profiles and insurance claims , and checking out patients that ... take inventory of medications (prescription and over the counter). + Notify Pharmacy Manager of supplies/products that need to be ordered. + Receive… more
    SpartanNash (10/26/24)
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  • Medical Insurance Collections…

    CVS Health (Monroeville, PA)
    …PA office. **Preferred Qualifications** + Experience with Specialty Pharmacy Billing/Collections + Problem resolution within healthcare reimbursement/ claims ... health care more personal, convenient and affordable. **Position Summary** CVS Health, Specialty Pharmacy , a mail service pharmacy in the Monroeville area, has… more
    CVS Health (10/06/24)
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  • Medical Insurance Collections…

    CVS Health (Monroeville, PA)
    …Monroeville PA. **Preferred Qualifications** + Experience with Specialty Pharmacy Billing/Collections + Problem resolution within healthcare reimbursement/ claims ... health care more personal, convenient and affordable. **Position Summary** CVS Health, Specialty Pharmacy , a mail service pharmacy in the Monroeville area, has… more
    CVS Health (10/23/24)
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  • Billing Representative - Primary Care-Full…

    Henry Ford Health System (South Lyon, MI)
    …responsibility and insurance coverage issues. . Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of ... claims processed as part of the daily ...and reimbursement practices. . Maintains detailed documentation in the patient account record of all billing activities. . Maintains… more
    Henry Ford Health System (10/25/24)
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  • Medical Customer Service Representative

    Catholic Health Initiatives (Lincoln, NE)
    … and physician accounts receivable. This position works collaboratively with purchasing, patient care, ancillary and pharmacy services to ensure appropriate and ... the mission of CHI Health by ensuring medical and pharmacy benefits are accurately provided and billed as well...notes in a timely manner to ensure approval of claims . + Maneuver billing software to make updates to… more
    Catholic Health Initiatives (10/02/24)
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  • Associate Customer Service Representative

    Providence (Portland, OR)
    …Order Qualification, HME Storefront, Customer Care Representative , High Value Patient Accounts, Special Provider Liaison, Claims and Quality Account ... I ensures HME is successfully supplied and reimbursed through accurate patient data collection and entry, evaluation of medical necessity, obtaining insurance… more
    Providence (10/25/24)
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  • Hybrid Call Center Representative

    TEKsystems (Cary, NC)
    Description: + Responsible for handling inbound and outbound pharmacy calls + Scheduling refill deliveries when needed and directing calls to appropriate personnel + ... able to show empathy to patients + Run medical claims and update concise progress notes to ensure other...and provide copies of invoices upon request + Answer patient questions and concerns during refill scheduling and transfer… more
    TEKsystems (10/19/24)
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  • Call Center Representative

    TEKsystems (Tempe, AZ)
    …OR * 2 years of high-touch, patient facing healthcare service roles (eg, Patient Access Reps, Claims Processors, Pharmacy Benefits Techs, etc.) * This ... Description: *Inbound healthcare contact center representative role *Managing phone and message inquiries from...we use with patients and each other) in all patient interactions and ensure a positive virtual (phone, messaging… more
    TEKsystems (10/26/24)
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  • Customer Service Representative

    TEKsystems (Tempe, AZ)
    …+ OR + 2 years of high-touch, patient facing healthcare service roles (eg, Patient Access Reps, Claims Processors, Pharmacy Benefits Techs, etc.) + This ... Description: + Inbound healthcare contact center representative role + Managing phone and message inquiries...we use with patients and each other) in all patient interactions and ensure a positive virtual (phone, messaging… more
    TEKsystems (10/19/24)
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  • Clinical Account Manager

    Access Dubuque (Dubuque, IA)
    …(Teams, Word, PowerPoint, Excel). + Solid understanding of PBM, formulary management, pharmacy claims , and managed care principles. + Residency experience is ... Clinical Account Manager **MedOne Pharmacy Benefit Solutions** 1 Positions ID: 2804065 Posted...between our clinical team and clients, driving innovation and patient care at MedOne. **About MedOne:** MedOne is a… more
    Access Dubuque (10/18/24)
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