Description & Requirements Maximus is seeking a highly skilled and knowledgeable Pharmacy Claims Subject Matter... in managing pharmacy claim adjudication, resolving complex claim disputes, and providing expert guidance on pharmacy claims...
. Do you have a CPhT certification? Would you like to audit pharmacy claims for accuracy? About the Role Conduent Payment Integrity... Solutions performs in depth pharmacy audits on behalf of our healthcare payer clients. As a Pharmacy Claims Auditor...
to type prescriptions accurately, and knowledge of insurance claims processing - Help with all types of pharmacy related works...Pharmacy Technician Positions-Full Time Or Part time Pharmacy Technicians (Downtown Los Angeles) compensation: Depends...
, in the practice of pharmacy. Assists the pharmacist in the performance of other Pharmacy Department duties in accordance... with Company policies and procedures. Responsible for using pharmacy systems to obtain patient and drug information and process...
and pharmacy team members in accordance with state and federal regulations. Responsible for using pharmacy systems to obtain.... Learns and champions pharmacy policy, procedures, and customer service best practices needed to perform as a future...
: Familiarity with HCPCS and ICD-10 coding. Experience adjudicating pharmacy benefit claims, particularly Medicare Part... pharmacy services. We are accredited by the Accreditation Commission for Health Care (ACHC), which confirms that we meet...
of related professional experience. - Experience with pharmacy claims/reimbursements required. - Experience using health care... to resolve any dispute raised by carrier or pharmacy. This includes but is not limited to client communication, quality control...
Job Segment: Medicare, Call Center, Claims, Medicaid, Pharmacy, Healthcare, Customer Service, Insurance Apply now Start... and culturally-appropriate manner. Coordinates multi-departmental (Member Services, Product Network Operations (PNO), Claims...
leaders trust Shields to elevate access, outcomes and growth within specialty pharmacy - delivering value throughout the... systems demand and the superior outcomes patients deserve. With the foremost leaders in specialty pharmacy on our team; proven...
. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits... and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health...
. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits... and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health...
and reimbursement topics, including Gilead support programs, payer policies, prior authorization processes, and claims submissions... with pharmacy benefits, specialty payer landscape, and reimbursement pathways (commercial, Medicare, Medicaid). An understanding...
of medical necessity as well as participate in peer-to-peer reviews for denied insurance claims. The Pharmacist... Educational Requirements: Pharm.D. or equivalent degree from an accredited school of pharmacy. Completion of a PGY1 and/or PGY2...
Job Description **This is for a Multi-Location Pharmacist position in Specialty** Job Summary Provides pharmacy.... Responsible for overseeing the daily operations of the pharmacy department and is accountable for workflow management, clinical...