- Hackensack Meridian Health (Eatontown, NJ)
- …resolution of prescription claims . Responsibilities A day in the life of a Pharmacy Claims Specialist at Hackensack Meridian Health includes: 1. Submit ... 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
- Gentle Dental (Portland, OR)
- …experts of billing, account and insurance information. You will successfully manage claims and have extensive experience in working with DentiCal insurance. From the ... first appointment to the last, our Insurance Billing Specialist lead patients to a happy and healthy smile!... lead patients to a happy and healthy smile! Full benefits including medical, dental, vision, life insurance, and… more
- AssistRx (Orlando, FL)
- …coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding ... to expedite patient access Document and initiate prior authorization process and claims appeals Report any reimbursement trends or delays in coverage to management… more
- Blink Health (Pittsburgh, PA)
- …with prior authorizations or insurance verification in a pharmacy Knowledge of pharmacy benefits and pharmacy claims Hours/Location: Shift : 40hours/week ... never again will a patient show up at the pharmacy only to discover that they can't afford their...flexible to work shifts ranging from 8am - 8pm. Full time position, on-site in our Robinson location Preferred… more
- Corvel (Sandy, UT)
- The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within ... possible outcome in the claim, supporting the goals of claims department and of CorVel. This is a remote...Teamwork (ACE-IT!). A comprehensive benefits package is available for full -time regular employees and includes Medical (HDHP) w/ Pharmacy… more
- Walgreens (Springfield, VA)
- …on-hand balances and pricing. Responsible for executing and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and ... Inventory Specialist | Walgreens Walgreens 1647592BR 8414 OLD KEENE...applicable for non-returnable ABC overstock. Verifies posting of all pharmacy /prescription claims . Completes execution of all pricing… more
- Actalent (Orlando, FL)
- Remote Pharmacy Technician - Insurance & Coverage Determination Specialist Location: Remote (US Based) Job Type: Full -Time Schedule: Monday-Friday, Rotating ... based on experience About the Role We are seeking a detail-oriented and tech-savvy Pharmacy Technician to join our remote team. In this role, you will be responsible… more
- 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
- 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
- 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...payments in Inmar, (our reconciliation company) - Monitoring Medicare claims to ensure payment has been received by all… 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 ... timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily....a good faith estimate of starting base pay for full time (40 hours per week) employment at the… 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
- 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
- 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
- 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
- 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 ... software system work queues. Must be able to understand and interpret claims adjudication issues with Pharmacy Benefit Management organizations, insurance plans,… more
- Providence (Anaheim, CA)
- **Description** The Pharmacy Billing Specialist is responsible to proactively audit, monitor, and analyze complex dispensing and charging information, processes ... delivered upon hire. + 3 years of Experience in health care or pharmacy billing, collections or medical claims processing. **Preferred qualifications:** +… more
