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Job Description
- Req#: 146808
Employer Industry: Pharmaceutical Services
Why consider this job opportunity:
- Competitive pay with shift differentials
- DailyPay option for immediate access to earned wages
- Flexible schedules to support work-life balance
- Comprehensive benefits package including health, dental, vision, life insurance, and company-paid disability insurance
- Opportunities for career advancement in a growing organization
- 100% remote work flexibility, allowing you to work from anywhere
What to Expect (Job Responsibilities):
- Manage and resolve rejected pharmacy claims to ensure maximum payer reimbursement
- Research and analyze rejected claims, collaborating with Medicare D plans and insurance companies
- Perform claims edits and reversals to secure timely billing and reimbursement
- Monitor and resolve revenue risks associated with billing processes
- Prepare and maintain reports for processing claims
What is Required (Qualifications):
- High School Diploma or GED required
- Customer service experience required
- Ability to retain and apply a large amount of information in a fast-paced environment
- Basic math aptitude and proficiency in Microsoft Office Suite
- Pharmacy technician experience is a plus but not required
How to Stand Out (Preferred Qualifications):
- Up to one year of related experience in pharmacy or claims processing
- Associate's or Bachelor's Degree
- Knowledge of insurance industry trends and regulatory considerations
- Pharmacy technician certification is desirable
#PharmaceuticalServices #ClaimsSpecialist #RemoteWork #CareerGrowth #ServiceExcellence
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