- Dragonfly Health (Mesa, AZ)
- …pharmacy relationships and demographics. 10. Complete tasks and special projects assigned by Pharmacy Claims Team Leaders on Pharmacy Claims (Support ... of six (6) months of pharmacy technician experience. * Experience with pharmacy claims adjudication is required. Specialized Knowledge, Skills & Abilities: *… more
- IQVIA (Flagstaff, AZ)
- **Patient Support Medical Claims Processing Representative ** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative ** to join our team. In this position, you… more
- The Cigna Group (Phoenix, AZ)
- …home position that must reside **within the state of** **Arizona.** As a ** Pharmacy Technician** with Freedom Fertility, you will be assisting patients in receiving ... + Accurately enter prescriptions into our system, run test claims , run test claims and support patients...experience or a willingness to learn. + **Valid National Pharmacy Technician certification is required.** + **Valid Arizona State… more
- Molina Healthcare (Mesa, AZ)
- JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching ... pharmacy strategy for optimization of medication related health care... prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any… more
- Highmark Health (Phoenix, AZ)
- …coordination of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + ... **Minimum** + High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree +… more
- TEKsystems (Tempe, AZ)
- …years of high-touch, patient facing healthcare service roles (eg, Patient Access Reps, Claims Processors, Pharmacy Benefits Techs, etc.) * Strong written and ... with One Medical* Overview This is an inbound healthcare contact center representative role working for a nationwide primary care practice. Description + Managing… more
- Prime Therapeutics (Phoenix, AZ)
- …experience, preferably leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide...we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want… more