- IQVIA (Phoenix, AZ)
- **Experienced Patient Support Medical Claims Processing Representative ** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider ... that currently we are looking for a 100% remote (work from home-WFH) contact ** Patient Support Medical Claims Processing Representative ** to join our team.… more
- 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
- Molina Healthcare (Columbus, OH)
- **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
- Elevance Health (Altamonte Springs, FL)
- …preferred. + Cover My Meds and Enterprise RX experience preferred. + Claims rejection processing experience preferred. + Specialty Pharmacy experience preferred. ... **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… 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
- Sharp HealthCare (San Diego, CA)
- …shift.Assists lead technician in processing daily, weekly and monthly reports and claims within the designated time frames.Performs pharmacy computer back-up ... Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** California Pharmacy Technician License (TCH) - CA State Board of Pharmacy ; Certified … more
- Virginia Mason Franciscan Health (Seattle, WA)
- …collaboratively with diverse teams cross the full value chain, including System Pharmacy Operations, Specialty Pharmacy , Patient Care Services, Corporate ... a pharmacy leadership position and/or three years processing prescription claims and dealing with prior authorizations and/or denials resolution. Just as… more
- Owens & Minor (Salt Lake City, UT)
- …and professionally with referral sources and patients. + Verify all patient demographics including shipping address, pharmacy insurance coverage, allergy ... delivery address for customer every moth/ responsible for information patient of co-pay and attempt of collection prior to...school diploma or equivalent; + Experience in Third Party Claims processing; + Knowledge in pharmacy operations… more
- Priority Health Care (Gretna, LA)
- …and dosages of medication according to prescription orders. Also act as a patient advocate by ensuring that the patients' prescribed drug therapy is followed as ... prescribed and coordinate patients prescribed pharmacy care with their healthcare providers to ensure that...outlined in the department operations manual. + Fills individual patient drug bins working from a medication fill list;… more
- TEKsystems (Tempe, AZ)
- …etc.) OR 2 years of high-touch, patient -facing healthcare service roles (eg, Patient Access Reps, Claims Processors, Pharmacy Benefits Techs, etc.). + ... to complete urgent tasks. + Use the C-I-CARE framework to ensure positive patient interactions. + Master technology tools such as Slack, Google Suite, Zoom, and… more
- State of Indiana (Richmond, IN)
- Pharmacy Technician Date Posted: Feb 7, 2025 Requisition ID: 456157 Location: Richmond, IN, US, 47374 Work for Indiana Begin a fulfilling career with the State of ... a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable… more
- SpartanNash (Kearney, NE)
- …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
- TEKsystems (Tempe, AZ)
- …etc.) OR 2 years of high-touch, patient -facing healthcare service roles (eg, Patient Access Reps, Claims Processors, Pharmacy Benefits Techs, etc.) ... Job Title: Inbound Healthcare Contact Center Representative Location: Tempe, AZ (off of Priest and...complete urgent tasks. + Utilize impeccable C-I-CARE in all patient interactions to ensure a positive virtual experience. +… more
- Elevance Health (Norfolk, VA)
- …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. (Orlando, FL)
- … + Experience in Long Term Care Pharmacy preferred + Experience in New York 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 (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
- Avera (Sioux Falls, 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
- Cardinal Health (Columbus, OH)
- …that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus ... of the patient and/or program + 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