- Apex Health Solutions (Houston, TX)
- Position Summary: The Pharmacy Care Representative performs duties to support the efforts of the pharmacy operations and solutions department in the ... health plan's pharmacy benefits and services. The Pharmacy Care Representative is primarily responsible for...Visio). Prior experience working in a call center, specialty pharmacy , patient assistance program, or customer service… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Pharmacy Access Representative III (PAR) is responsible for the ... communicate with the prescriber's office to acquire necessary information to submit claims to the patient 's insurance for approval including prior authorization… more
- Molina Healthcare (Owensboro, 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
- Mount Sinai Health System (New York, NY)
- …the WTCH clinic population. The Clinical Pharmacy Manager will act as the pharmacy representative for the WTCHP clinic(s) in coordination with other MSHS ... prescription portal for QA report and analyzing + Reviewing pharmacy claims to identify outliers, utilization and...supervisor, subject to reasonable accommodation . + Serve as pharmacy representative on behalf of MSHP as… more
- Access Dubuque (Dubuque, IA)
- …TH Comments **Similar Jobs** Inpatient Pharmacist PT MercyOne Claims Processing Representative Grand River Medical Group Patient Care Technician - Dubuque ... Patient Access Representative **Southwest Health** 1... Care Technician-5N Medical/Surgical UnityPoint Health Finley Hospital Inpatient Pharmacy Tech Southwest Health RN-Inpatient Acute Rehab UnityPoint Health… more
- Access Dubuque (Dubuque, IA)
- Patient Financial Services Representative **Southwest Health** 1 Positions ID: 62886 Posted On 03/03/2025 **Job Overview** Requirements + High school diploma, ... 1. We are seeking a full-time (40 hours/ week) Patient Financial Services Representative to work weekdays...patients and insurance companies. They ensure primary and secondary claims are submitted timely and received by insurance company.… more
- SpartanNash (Mancelona, 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
- 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
- Henry Ford Health System (Southfield, 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 documentation… more
- Elevance Health (St. Louis, MO)
- …new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The **Customer Care Representative I** is responsible for ... **Customer Care Representative I** **Location:** This is a hybrid position...written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates… more
- Specialty Rx, Inc. (Austin, TX)
- …pharmacy + Experience in Long Term Care Pharmacy preferred + Experience in Pharmacy billing claims preferred + Must be able to work independently and as a ... Job Description Our Company SpecialtyRx is a Long-Term Care pharmacy providing pharmaceutical services to long term care facilities and assisted living communities.… more
- TEKsystems (Belleville, IL)
- …must be proficient in using a computer, including system navigation. Additionally, this representative will act as the first point of contact for patients entering ... submit documentation and orders. Complete insurance verification to determine patient eligibility, coverage, co-insurance, and deductibles. Obtain pre-authorization if… more
- TEKsystems (Tempe, AZ)
- …OR * 2 years of high-touch, patient facing healthcare service roles (eg, Patient Access Reps, Claims Processors, Pharmacy Benefits Techs, etc.) * Strong ... Medical* Overview This is an inbound healthcare contact center representative role working for a nationwide primary care practice....we use with patients and each other) in all patient interactions and ensure a positive virtual (phone, messaging… more
- TEKsystems (Belleville, IL)
- …must be proficient in using a computer, including system navigation. Additionally, this representative will act as the first point of contact for patients entering ... documentation and orders. + Complete insurance verification to determine patient eligibility, coverage, co-insurance, and deductibles. + Obtain pre-authorization if… more
- Avera (Yankton, SD)
- …Facilitate resolution of patient billing issues which may include appealing denied claims . . Work in collaboration with the patient , insurance, and business ... patients to determine potential for program assistance, complete application with patient and families, and follow up after discharge regarding application and… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …services, home health care services, durable medical equipment, rehabilitative therapies, and pharmacy reviews from finance and/or claims department + Prepare ... Summary With direction from the Patient Financial Services Director, the Nurse Auditor/ Revenue...and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity,… more
- 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
- Cardinal Health (Nashville, TN)
- … patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, ... caller to appropriate team member (when applicable) * Resolve patient 's questions and any representative for the... insurance benefit practices, preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding… more
- Pfizer (Baton Rouge, LA)
- …but not limited to Integrated Delivery Systems, Payer customers and Specialty Pharmacy Providers (SPPs). The responsibilities of the role are to contribute to ... non-interventional studies with the goal of advancing quality of care and improving patient outcomes (f) Optimize patient care improvements in centricity of… more
- PeaceHealth (Bellingham, WA)
- …to enhance the effectiveness of the program. + Serves as risk management representative to the Facility Quality and or Patient Safety Committee (including ... actual and potential exposures to the organization with a goal of improved patient safety and protection of the organization's assets. Ensure adherence to government… more