- Humana (Pierre, SD)
- …of our caring community and help us put health first** Job Description Summary The Pharmacy Claims Representative assists local pharmacies with claims ... up and maintaining hospice/facility/ pharmacy relationships under the direction of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support… more
- Avera (Pierre, SD)
- …answer clinical questions during authorization process. Communicate with care team and pharmacy staff to ensure that all treatments meet medical necessity. Draft ... Facilitate resolution of patient billing issues which may include appealing denied claims . . Work in collaboration with the patient, insurance, and business office.… more