- 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
- Essentia Health (Superior, WI)
- …+ Other duties as assigned Required Qualifications: + 1 year experience as a pharmacy technician, medical assistant, claims representative in a managed care ... CMA, etc.) Preferred Qualifications: + 2 years' experience as a pharmacy technician, medical assistant, claims representative in a managed care role or in… more
- IQVIA (Houston, TX)
- **Patient Support Medical Claims Processing Representative ** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative ** to join our team. In this position, you… more
- Independent Health (Buffalo, NY)
- …a daily basis. Assist in interpreting database information as it relates to pharmacy claims processing. + Assist with PBM implementation by identifying potential ... systems department with various data entry projects/information as they relate to pharmacy claims processing. C. Administrative Duties + Provide accurate and… more
- Providence (Portland, OR)
- **Description** We are seeking a Pharmacy Technician Access Services Representative to provide insurance benefit validation and obtain authorizations for home ... will be responsible for processing all new referrals for Providence Infusion and Pharmacy Services Home and Infusion Suite services. This work includes obtaining the… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental ... claims against established criteria, and in accordance with specific...claim payments working in conjunction with the Customer Service Representative . **Qualifications** + High school diploma required; medical office… more
- University of Rochester (Rochester, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Pharmacy Access Representative III (PAR) is responsible for the ... other related duties as required, including work relating to the Intake Pharmacy Access Representative **Prior Authorization Management** + Maintains expertise… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Pharmacy Clerk Job Details Job Location Polaris Pharmacy Services of Los Angeles - Covina, CA Job Category Pharmaceutical Description WHO WE ARE Polaris ... Pharmacy Services is an industry leader in both the...tasks such as filing, data entry, and processing insurance claims . + Collaborate with team members to improve workflow… more
- Highmark Health (Dover, DE)
- …coordination of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + ... **Minimum** + High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree +… more
- Access Dubuque (Dubuque, IA)
- Inpatient Pharmacy TIS Coordinator **MercyOne** 1 Positions ID: TRHEUS00609976MERCYO Posted On 08/27/2025 **Job Overview** **Employment Type:** Part time **Shift:** ... Under the general direction of the director, coordinates the hospital's interface with pharmacy information technology, both within and outside of the pharmacy … more
- Owens & Minor (Salt Lake City, UT)
- …and/or Experience: High school diploma or equivalent; Experience in Third Party Claims processing; Knowledge in pharmacy operations and products utilized by ... related factors such as experience, skills, education and location. Description: Licensed Pharmacy Technician works under the supervision of a pharmacist and is… more
- Actalent (Des Plaines, IL)
- We're looking for a detail-driven and collaborative Intake Enrollment Pharmacy Technician Representative to join our team in a hybrid role supporting the intake ... pharmacy technician + 1+ years of experience in pharmacy -related data entry and claims resolution. +...of experience in pharmacy -related data entry and claims resolution. + Strong understanding of medical insurance processes,… more
- Independent Health (Buffalo, NY)
- …a passion for service, and practices empathetic listening towards all Pharmacy Benefit Dimensions (PBD) customers. The Servicing Representative functions ... a culture that fosters growth, innovation and collaboration. **Overview** The Servicing Representative is a customer service professional who displays confidence,… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- …NYM when necessary. + Follow up and resolved pending billing issues. Billing Pharmacy Representative Requirements: + HS diploma or equivalent. + Courteous and ... Job Description SpecialtyRx is a full-service pharmacy . We need Billing Representative with...environment is a must. + Experience in New York Pharmacy billing claims . (Preferred) + Frameworks/ECM knowledge… more
- Independent Health (Buffalo, NY)
- …and 5pm** **Monday through Friday** . **Overview** The Provider Relations Representative will be responsible for assisting our provider constituents and providing ... exceptional customer service. The Provider Relations Representative will answer incoming calls from health care providers including physician offices, ancillary… more
- SpartanNash (Byron Center, MI)
- …service, utilizing the computer systems to maintain patient profiles and insurance claims , and checking out patients that ensures that the shift contributes to ... take inventory of medications (prescription and over the counter). + Notify Pharmacy Manager of supplies/products that need to be ordered. + Receive… more
- Adecco US, Inc. (Cary, NC)
- …a full-time **Key Responsibilities:** * Conduct benefits investigations and adjudicate pharmacy claims * Communicate with providers regarding prior ... **Now Hiring: Patient Benefit Representative ** Adecco Healthcare & Life Sciences is seeking...We're Looking For:** * 2+ years of experience in pharmacy or healthcare settings * Experience with insurance eligibility… more
- Independent Health (Buffalo, NY)
- …holidays and weekends. **Pay rate: $19/hr.** **Overview** The Customer Service Representative (CSR) is responsible for displaying confidence, passion for service, ... The CSR is called on to research complex issues pertaining to benefits, claims , plans, and eligibility across multiple databases which requires fluency in computer… more
- Molina Healthcare (Ramapo, NY)
- …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
- Molina Healthcare (Covington, KY)
- …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