- Dragonfly Health (Mesa, AZ)
- …pharmacy relationships and demographics. 10. Complete tasks and special projects assigned by Pharmacy Claims Team Leaders on Pharmacy Claims (Support ... of six (6) months of pharmacy technician experience. * Experience with pharmacy claims adjudication is required. Specialized Knowledge, Skills & Abilities: *… more
- The Cigna Group (Phoenix, AZ)
- …home position that must reside **within the state of** **Arizona.** As a ** Pharmacy Technician** with Freedom Fertility, you will be assisting patients in receiving ... + Accurately enter prescriptions into our system, run test claims , run test claims and support patients...experience or a willingness to learn. + **Valid National Pharmacy Technician certification is required.** + **Valid Arizona State… more
- Alabama Oncology (Birmingham, AL)
- …or other nationally recognized and accredited certification program requiring examination. + 2 years' experience as a pharmacy technician preferred + Experience ... Welcome to Alabama Rx, a medically integrated specialty pharmacy with Alabama Oncology. As one of the...of written and electronic prescriptions. + Assists with insurance claims processing. + Assists with the prior authorization process… more
- Molina Healthcare (San Francisco, CA)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
- TEKsystems (Tempe, AZ)
- …years of high-touch, patient facing healthcare service roles (eg, Patient Access Reps, Claims Processors, Pharmacy Benefits Techs, etc.) * Strong written and ... with One Medical* Overview This is an inbound healthcare contact center representative role working for a nationwide primary care practice. Description + Managing… more
- Essentia Health (Superior, WI)
- …(CPhT, CMA, etc.) Preferred Qualifications: + 2 years' experience as a pharmacy technician, medical assistant, claims representative in a managed care ... as assigned Required Qualifications: + 1 year experience as a pharmacy technician, medical assistant, claims representative in a managed care role or in… more
- Publix (Lakeland, FL)
- …and bar admission in other Publix-operating states. + ARM or Certified Claims Representative designation. **Zip Code:** 33811-3311 **Work Environment:** Hybrid ... a wide range of liability matters including premises, fleet, pharmacy , and product claims . + Develop and...(lead or second chair), OR3 years in litigation + 2 years managing litigation for a corporate liability function,… more
- CVS Health (Largo, FL)
- …client satisfaction, retention, and engagement by serving as a trusted onsite representative to our public sector client. This field-based role centers on delivering ... in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related… more
- Boehringer Ingelheim (Ridgefield, CT)
- …for our employees. The Fellow will serve as the Regulatory Affairs representative on the Human Pharma Review Committee (HPRC) team, working cross-functionally with ... and the current Regulatory landscape. The Fellow will review promotional claims and materials for Boehringer Ingelheim prescription drugs for compliance with… more
- State of Colorado (Pueblo, CO)
- …potential problems. Department Standards: + Knows, utilizes, and follows: Pharmacy Formulary, treatment plans, Infection Control manual, Physician's orders, Court ... meet education and mandatory training requirements. + Reports abuse allegations, claims of harassment/workplace violence immediately to the Emergency On Call… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Network and Pharmacy , ensuring data is pulled using the most representative methods. They also support high-risk regulatory reporting, where precision and speed ... synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals. Their work goes beyond extraction; it… more
- PeaceHealth (Vancouver, WA)
- …facility leaders, caregivers and patients. Rounds on facilities and assigned areas. 2 . Consults with caregivers and leaders on issues related to risk management, ... clinical risk management risk investigations and response to events, potential claims , and grievances presented against caregivers, physicians and the organization… more
- CVS Health (Boston, MA)
- …as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of these roles to ... role will be expected to be onsite in NYC 2 - 3 times per week and upon the...benefits related issues including answering routine questions, addressing denied claims , preauthorization, and providing support to both the employees… more
- TEKsystems (Tempe, AZ)
- …+ 2 years of patient-facing healthcare service experience (eg, Patient Access Rep, Claims Processor, Pharmacy Tech) + Experience must be within the last 4 ... and help transform the patient experience. As an Inbound Healthcare Contact Center Representative , you'll be the first point of contact for patients and care… more
- Avera (Sioux Falls, SD)
- **Location:** Avera Long Term Care Pharmacy **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Pay Range:** _The pay range for this ... the preparation, completion and filing of third party payor insurance reimbursement claims , both electronic and paper formats. + Processes explanation of Medicare… more