- Hackensack Meridian Health (Eatontown, NJ)
- …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 ... the pharmacy operations team to ensure timely submission and resolution...team to ensure timely submission and resolution of prescription claims . Education, Knowledge, Skills and Abilities Required: 1. High… 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
- CenterWell (Topeka, KS)
- …of our caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure ... agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate… more
- Trinity Health (Ann Arbor, MI)
- **Employment Type:** Full time **Shift:** **Description:** ** Pharmacy Tech Specialist - Home Infusion** **Department:** Home Infusion **Location:** Trinity ... the drug inventory. Performs all job functions of the Pharmacy Technician Specialist as needed/appropriate for the...Billing Assistance + Drug card billing for home infusion pharmacy patients, troubleshoot claims rejections, finalize and… 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 ... the Oregonian in 2021, 2022, and 2023* Our specialty pharmacy Our state-of-the-art specialty pharmacy provides medications...an elevated role. We are recruiting a Special Handling Specialist to join our team of health care professionals.… more
- Sanford Health (Fargo, ND)
- …time **Weekly Hours:** 40.00 **Salary Range:** $16.00 - $25.50 **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...payments in Inmar, (our reconciliation company) - Monitoring Medicare claims to ensure payment has been received by all… more
- Marshfield Clinic (Marshfield, WI)
- …of the SHP pharmacy benefits. This individual works closely with the Pharmacy Director, Clinical Pharmacy Specialist , and Operations Manager to provide ... most exciting missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist (Remote in WI)) **Cost...a pharmacy technician with knowledge of electronic pharmacy claims processing. Demonstrated proficiency with customer… 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
- St. Luke's Health System (Boise, ID)
- …St. Luke's is truly a great place to work. **Overview:** The Senior Pharmacy Benefits Specialist assists our members in identifying and navigating complex ... pharmacy benefits management (PBM) and third-party issues such as...pharmacy benefits. + Facilitate resolutions to issues involving claims adjudication, member concerns, and provider communications. + Addresses… more
- Publix (Lakeland, FL)
- …and prevent write-offs + Responsible for managing and improving the aging report on unpaid pharmacy claims , collecting money for all pharmacy 3rd party sales ... **33247BR** **Position Title:** Sr. Collections Specialist - Pharmacy - Lakeland **Department:** Finance **Location:** Lakeland, FL **Description:** The Senior… more
- Marshfield Clinic (Marshfield, WI)
- …law and third-party reimbursement rules. **Preferred/Optional:** Three years' experience in pharmacy claims processing. Experience in technical writing and ... to support the most exciting missions in the world!** **Job Title:** Pharmacy Systems Support Specialist Senior **Cost Center:** 301641560 System Ancillary… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Patient Care Specialist , under the supervision of Manager, Operations & Compliance, assists in ... the various activities of the pharmacy operations not requiring the professional judgment of the...the professional judgment of the pharmacist. The Patient Care Specialist is primarily responsible for incoming and outgoing calls… more
- Prime Therapeutics (Des Moines, IA)
- …fuels our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** ... support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned....Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Deloitte (Carson City, NV)
- …terms) with PBMS + Experience performing analytical analysis of medical & pharmacy claims , including understanding financial impact of network changes, design ... do + Lead employee benefits diagnostic/planning studies, especially in pharmacy + Provide subject matter expertise on the ...pharmacy + Provide subject matter expertise on the pharmacy landscape, including emerging trends and cost drivers +… more
- BrightSpring Health Services (Englewood, CO)
- …Inc. is a leading provider in Home Infusion therapy. We are looking for a Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one ... of a single or multiple site locations. The Collection Specialist will report to the Collection Manager and work...establish appropriate follow up. + Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500… more
- AssistRx (Orlando, FL)
- …coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding ... access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays...+ In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage + 2 to 3 years of… more
- Meriter-UnityPoint Health (Madison, WI)
- …for maintaining high personal standards of customer service and satisfaction. The Discharge Specialist Pharmacy Technician is a position in the Outpatient ... Pharmacy . The Discharge Specialist is responsible for facilitating and expediting the medication-related...proactively obtaining payment information for patients using Meriter Outpatient Pharmacy at discharge, processing test claims for… more
- Polaris Pharmacy Services of Minnesota, LLC (Livermore, CA)
- …Type Full Time Job Category Pharmaceutical Description THIRD PARTY ADJUDICATION CLAIMS SPECIALIST WHO WE ARE Polaris Pharmacy Services is an industry leader ... to all our team members. OVERVIEW The Third-Party Adjudication Claims Specialist is responsible for managing and...responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement… more
- Ardon (Portland, OR)
- …Must be able to accurately utilize applicable computer software and equipment for pharmacy claims processing. Working conditions Work is performed primarily at a ... level I and level II positions and/or Referral Resource Specialist level I and II positions and/or equivalent experience....work queues. Must be able to understand and interpret claims adjudication issues with Pharmacy Benefit Management… more
- Providence (Anaheim, CA)
- **Description** The Pharmacy Billing Specialist is responsible to proactively audit, monitor, and analyze complex dispensing and charging information, processes ... + 3 years of Experience in health care or pharmacy billing, collections or medical claims processing....care or pharmacy billing, collections or medical claims processing. **Preferred qualifications:** + Bachelor's Degree in Business,… more
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