- Hackensack Meridian Health (Eatontown, NJ)
- …rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another ... 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
- TEKsystems (Murray, UT)
- … support role. * Demonstrated ability to meet performance standards for a Pharmacy Benefit Specialist II Pay and Benefits The pay range for this position ... Spanish! Description Responsible for expeditious and accurate adjudication of pharmacy claims , and the provision of excellent...* More responsibilities as assigned Skills & Qualifications * Pharmacy Benefit Specialist I certification… more
- CenterWell (Topeka, KS)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist **...HIPAA information. CenterWell Home Health offers a variety of benefits to promote the best health and well-being of… more
- Marshfield Clinic (Marshfield, WI)
- …together to support the most exciting missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist (Remote in WI)) **Cost Center:** 682891381 ... **Job Description:** **JOB SUMMARY** The Security Health Plan (SHP) Pharmacy Benefit Specialist is responsible... benefits . This individual works closely with the Pharmacy Director, Clinical Pharmacy Specialist ,… more
- Walgreens (Deerfield, IL)
- …viewing presentations). **Preferred Qualifications:** + At least 2 years experience in pharmacy claims processing. We will consider employment of qualified ... is available at www.walgreensbootsalliance.com . **Job ID:** 1620621BR **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
- 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...- CARS (Cash Reconciliation Solutions) - Tills - Insurance benefit verification for our Home Infusion book of business… more
- Ardon (Portland, OR)
- As we continue to grow, we are seeking a Special Handling Specialist to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we are ... Specialists will be experts in all aspects of manufacturer special programs, claims processing, benefits investigation, copay assistance programs, as well as… more
- Ardon (Portland, OR)
- …applications. Ability to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial ... to grow, we are seeking a Billing & Insurance Specialist to join our award-winning specialty pharmacy ...Team member, you will conduct insurance reviews, process prescription claims , and communicate with benefit providers, patients,… more
- Publix (Lakeland, FL)
- …all money is accounted for and being collected from the insurance carriers, pharmacy benefits management (PBM) companies to reduce days sales outstanding (DSO) ... **33247BR** **Position Title:** Sr. Collections Specialist - Pharmacy - Lakeland **Department:**...for managing and improving the aging report on unpaid pharmacy claims , collecting money for all … more
- Elderwood (Buffalo, NY)
- …#Talroo Responsibilities + Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy system. + ... of NY is looking for an experienced, detail- oriented Pharmacy Billing Specialist to join our team...retail, long term care or hospital. + Experience with Pharmacy claims and various types of … more
- Deloitte (Carson City, NV)
- …Designation or Actuarial credentials. + In-depth experience with healthcare and pharmacy benefit management, including: + Experience performing vendor selection ... August 29th, 2025. Work you'll do + Lead employee benefits diagnostic/planning studies, especially in pharmacy +...PBMS + Experience performing analytical analysis of medical & pharmacy claims , including understanding financial impact of… more
- Independent Health (Buffalo, NY)
- …health and well-being. Established in 1980, our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care ... organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. **Overview**… more
- BrightSpring Health Services (Englewood, CO)
- …+ Basic pharmacy knowledge of reading and interpreting prescriptions and submitting pharmacy claims to PBM payers. + Working knowledge of automated billing ... to all the Amerita locations, the PBM Payer Audit Specialist reviews audit request, compiles and classifies existing documentation...Manager of any missing items, issues, or trends . Pharmacy Technician experience is strongly preferred. Mon - Fri… 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 ... include but are not limited to third party payers, manufacturers, prescription benefit management companies, external pharmacy personnel, and referring providers… more
- Centene Corporation (Sacramento, CA)
- …supporting various pharmacy operations tasks including but not limited to claims , formulary, benefit , and networks. + Performs other duties as assigned ... Technician license preferred Preferred Qualifications: + Experience in working with pharmacy claims data with an understanding of key pricing elements… more
- Centene Corporation (Jefferson City, MO)
- …meeting and exceeding all performance standards + Maintains expert knowledge on all pharmacy benefits and formularies, including CMS regulations as they pertain ... to Friday 11:00 AM-7:30 PM EST **Position Purpose:** The Pharmacy Resolution Specialist receives and responds to...to this position + Responsible for knowing and interpreting pharmacy and medical benefits + Answers and… more
- Sharp HealthCare (San Diego, CA)
- …Sigma or Continuous Quality Improvement projects) to promote quality, cost-effective pharmacy benefits for patients + Program participationCompletes the process ... Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board; California … more
- AssistRx (Maitland, FL)
- …care providers and patients Requirements + In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage + 2 to 3 years of benefit ... coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding… more
- UCHealth (Aurora, CO)
- Description Location: UCHealth UCHlth Admin 2450 Peoria, US:CO:Aurora Department: UCHlth Pharmacy Administration FTE: Full Time, 1.0, 80.00 hours per pay period (2 ... collaboratively to resolve customer billing/account issues and rejected insurance claims by researching billing/coding issues, reviewing third-party reimbursement requirements,… more
- Option Care Health (Charleston, WV)
- …best and brightest talent in healthcare. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... partners feel Option Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to prepare patients for OCH… more