- 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 serve as a leader of positive change. Responsible for long-term care pharmacy third party billing functions as assigned by the Billing Manager. Works alongside… more
- BrightSpring Health Services (Uniondale, NY)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...Party: + Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement… 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:** 1503865BR **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
- 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
- CenterWell (Atlanta, GA)
- …of our caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure ... agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate… 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 ... Tuition Reimbursement* Paid Time Off & Holidays Responsibilities + Processes pharmacy and medical claims accurately and efficiently, ensuring compliance… 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
- 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...payments in Inmar, (our reconciliation company) - Monitoring Medicare claims to ensure payment has been received by all… more
- Ardon (Portland, OR)
- As we continue to grow, we are seeking a Billing & Insurance Specialist to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we are ... the Oregonian in 2021, 2022, and 2023* Our specialty pharmacy Our state-of-the-art specialty pharmacy provides medications...elevated role. We are recruiting a Billing & Insurance Specialist to join our team of health care professionals.… more
- Prime Healthcare (Aurora, IL)
- …Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Pharmacy Business and Revenue Cycle ... Specialist is responsible for ensuring that pharmacy related systems and processes for revenue cycle are...key stakeholders to develop appeals or redeterminations for any claims that require a review of medical necessity, disease… 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
- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** Clinical Pharmacy Program Specialist /CPT preferred-REMOTE **Job Description** This position is ... programs. It requires extensive knowledge of medications, disease states, pharmacy sig codes, and extensive knowledge of quality, ...drive results in a timely manner. + Utilize medical claims expertise to identify new areas of opportunity for… more
- UNC Health Care (Raleigh, NC)
- …improve the health and well-being of the unique communities we serve. Summary: The Pharmacy Transition Specialist is a vital member of our outpatient pharmacy ... to our Meds to Beds program. This position qualifies for our Pharmacy Technician Incentive Program, which includes $1500 in commitment incentives spread over… 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
- Seattle Children's (Seattle, WA)
- The Prior Authorization (PA) Specialist is responsible for all aspects of the prior authorization process while continuously monitoring and ensuring compliance ... to ensure all functionalities are utilized for the most efficient processing of claims and identifies PA trends and/or issues resulting in delayed claims … more
- ProMedica Health System (Toledo, OH)
- …below are essential unless noted otherwise* Cash posting and reconciliation of pharmacy claims via remittance detail, both electronic and manual, utilizing ... controls, processes, and procedures to ensure prompt and accurate payment of pharmacy claims . Provides feedback to Director for staff education needed to improve… more
- TEKsystems (Salt Lake City, UT)
- …based out of Utah! Description Responsible for expeditious and accurate adjudication of pharmacy claims , and the provision of excellent customer service to all ... and healthcare space to join our team as a Pharmacy Benefit Specialist at one of the...groups, providers and other departments or teams. Rotates between pharmacy claims and customer service responsibilities and… more
- Centene Corporation (Lansing, MI)
- …able to work 2:00 PM - 10:30 PM EST Monday-Friday **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and handles ... more complex pharmacy issues and respond to escalated calls from members,...with members and provider offices to provide resolution to claims (ie: additional information requests and medication determination updates)… 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 ... a calling** WI-SSM Health West Beltline **Worker Type:** PRN **Job Highlights:** + Department: Pharmacy + Schedule: PRN, Day Shift, 5 days per week 1-3 hours per… more