- BrightSpring Health Services (Englewood, CO)
- …branches and healthcare professionals. Providing service to all the Amerita locations, the PBM Payer Audit Specialist reviews audit request, compiles and ... documentation needed to respond effectively and efficiently. The PBM Payer Audit Specialist also performs...Manager of any missing items, issues, or trends . Pharmacy Technician experience is strongly preferred. Mon - Fri… more
- Walgreens (Deerfield, IL)
- …information is available at www.walgreensbootsalliance.com . **Job ID:** 1620621BR **Title:** Specialist 3rd Party Rx Ops Pharmacy Tech Services **Company ... Commercial, Government, 340B and Walgreens Direct Bill contracts. Enters plans into pharmacy system and provides issue resolution and support for the stores.… more
- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate ... the Appeals process. + Assist with internal and external audit processes. + Work with assigned clients to assess...+ Work with assigned clients to assess trends around payer responses. + Participate in the development and completion… more
- CenterWell (Jefferson City, MO)
- …**The shift is Monday-Friday, 6am-2:30pm CT/7am-3:30pm ET.** As a **Healthcare Insurance Authorization Specialist ** , you will be responsible for: + Daily audit ... and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing + Ensure all internal… more
- Henry Ford Health System (Detroit, MI)
- …Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder- Payer (CPC-P), Certified Coding Specialist (CCS), Certified ... GENERAL SUMMARY: Under the direction of the Compliance Audit Manager, the Principal Compliance Investigator will oversee compliance auditing and monitoring to assess… more
- Billings Clinic (Billings, MT)
- …adding HCPCS modifiers where necessary and verifying units of service for pharmacy items and supplies. Queries physicians to clarify clinical documentation. Educates ... and reimbursement. * Maintains or exceeds 95% coding accuracy based on audit findings. * Maintains or exceeds department productivity standards for assigned areas… more