- 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
- IQVIA (Columbia, OH)
- **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
- Molina Healthcare (Augusta, GA)
- JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching ... pharmacy strategy for optimization of medication related health care... prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any… more
- The Cigna Group (Boston, MA)
- …skills to help your patients' dreams of having a family come true! As a Pharmacy Technician Senior Representative , you will use your data entry skills to ensure ... details. + Be a team player - Escalate complex claims to the appropriate team for further action. Why...What you need to do the job: + MA Pharmacy Technician State License required and PTCB required +… more
- Immigration and Customs Enforcement (Washington, DC)
- Summary The Claims Management Program Analyst supports the Health Plan Management Unit by managing claims , provider recruitment, and compliance with healthcare ... standards. Responsibilities include liaising with stakeholders, ensuring claims accuracy, minimizing denials, and providing training. Requires healthcare claims … more
- Access Dubuque (Dubuque, IA)
- …Senior Brokerage Claims Advocate - Transportation Cottingham & Butler/ SISCO Claims Representative Cottingham & Butler/ SISCO Psychologist (Ph.D or Psy.D.) - ... TPA General Liability Claims Adjuster **Cottingham & Butler/ SISCO** 1 Positions...General, Pediatric Medical Associates Outpatient Pharmacy Technician MercyOne General Surgeon Medical Associates General Pediatrician… more
- Kelly Services (Menands, NY)
- …support regarding billing, insurance, and payment inquiries. + Process medical, dental, pharmacy , and home care claims in accordance with program policies. ... Claims Specialist Location: Menands, NY (Onsite) Company: Local...documentation. Qualifications: + Previous experience as a Customer Service Representative in a financial or medical field required. +… more
- State of Colorado (Denver, CO)
- PHARMACY TECHNICIAN II- CMHH at Fort Logan Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5118078) Apply PHARMACY TECHNICIAN II- CMHH at ... tobacco free campus. Description of Job + About this Work Unit: The Pharmacy department provides for the purchase, preparation, storage, control, and dispensing of… more
- Highmark Health (Nashville, TN)
- …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
- CVS Health (Frankfort, KY)
- …is expected to attend and lead discussions as the delegated health plan representative in all state meetings regarding pharmacy program initiatives, new ... ideal candidate will reside in the state of Kentucky.** **Position Summary** The Pharmacy Director for Aetna Better Health of Kentucky will be responsible for all… more
- Owens & Minor (Torrance, CA)
- …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
- 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
- The Cigna Group (Newburyport, MA)
- …your patients' dreams of having a family come true! As a **Customer Service Representative - Refill Pharmacy Technician** at Freedom Fertility, you'll use your ... information. + _Be a team player_ - Escalate complex claims to the Sr. Billing & Reimbursement Specialists for...Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and… more
- Adecco US, Inc. (Cary, NC)
- **Now Hiring: Customer Service Representative - Pharmacy Operations** Adecco Healthcare & Life Sciences is seeking **Customer Service Representatives** to ... patience when working with patients. * Medical terminology or pharmacy experience a plus. * Medical claims ...or pharmacy experience a plus. * Medical claims experience preferred but not required. **_Ready to join… more
- SpartanNash (Rockford, 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
- Elevance Health (Atlanta, GA)
- **Network Education Representative ** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... accommodation is granted as required by law. The **Network Education Representative ** supports and maintains current provider network through customer service… more
- Molina Healthcare (Hamburg, NY)
- …that may cross departmental lines and involve Senior Leadership. * Must have claims resolution experience. * Serves as a subject matter expert for other departments. ... 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… more
- Molina Healthcare (Seattle, WA)
- …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
- Humana (Tallahassee, FL)
- …Provider claims inquiries, grievances and appeals, transportation needs, and pharmacy support. **Use your skills to make an impact** **Required Qualifications** ... APPLICATION (PDF OR WORD FORMAT) As a Contact Center Representative 2, you will provide coverage for **Eastern Time...120 days of employment as an Inbound Contact Center Representative constitute an appraisal period. This Appraisal Period is… more