- 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
- Baptist Memorial (Memphis, TN)
- …to new procedures, existing procedures, supplies, implantable items, skin substitutes, and pharmacy charges as stated in our CDM pricing policy. . Working knowledge ... and billing through online websites and newsletters for Medicare, Medicaid and Payer website and communicates those findings to leadership. . Will conduct monthly… more
- Corewell Health (Grand Rapids, MI)
- …Manage the vendors that are hired to perform Universal program review and audit functions for Priority Health. Oversee all activities associated with delivering an ... audit service from Statement of Work (SOW) creation to...business units within the organization. + Collaborates with Medical, Pharmacy , and Provider teams to determine the best course… more
- Corewell Health (Grand Rapids, MI)
- …broad range of investigations and audits related to FWA, including medical and pharmacy claims, as well as concerns involving members, agents, and employer groups. ... summarization, and reporting of findings. + Implement, and continuously refine audit plans to proactively identify FWA risks. Ensure all investigative and… 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