ResCare Community Living
Pharmacy Claims Specialist
This job is now closed
Job Description
- Req#: 146808
Employer Industry: Pharmacy Services
Why Consider this Job Opportunity:
- Competitive pay
- Opportunity for career advancement and growth within the organization
- Flexible schedules
- Remote work opportunity
- Health, dental, vision, and life insurance benefits
- Tuition Assistance and Tuition reimbursement
What to Expect (Job Responsibilities):
- Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing
- Research, analyze, and resolve rejected claims with national Medicare D plans, third party insurance companies, and state Medicaid plans
- Monitor and resolve at-risk revenue associated with payer set up, billing, rebilling, and reversal processes
- Identify, document, communicate, and resolve payer/billing trends and issues
- Prepare and maintain reports and records for processing
What is Required (Qualifications):
- High School Diploma or GED
- Customer Service experience
- Ability to retain a large amount of information and apply that knowledge to related situations
- Basic math aptitude
- Microsoft Office Suite skills
How to Stand Out (Preferred Qualifications):
- Up to one year of related experience
- Knowledge of the insurance industry's trends, directions, major issues, regulatory considerations, and trendsetters
#PharmacyServices #CareerOpportunity #RemoteWork #CompetitivePay #HealthcareServices
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