- Polaris Pharmacy Services, LLC (Covina, CA)
- Pharmacy Clerk Job Details Job Location Polaris Pharmacy Services of Los Angeles - Covina, CA Job Category Pharmaceutical Description WHO WE ARE Polaris ... Pharmacy Services is an industry leader in both the...tasks such as filing, data entry, and processing insurance claims . + Collaborate with team members to improve workflow… more
- Highmark Health (Sacramento, CA)
- …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
- Molina Healthcare (San Diego, CA)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …Specialist is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing ... efficient workflow. DUTIES/RESPONSIBILITIES: * Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely… more
- LA Care Health Plan (Los Angeles, CA)
- …etc. Collaborates with internal departments (Member Services, Provider Network Operations, Claims , Utilization Management, Pharmacy , and Quality Management) to ... ( Claims , Provider Network Operations, Utilization Management, Quality Management, Pharmacy ) to appropriately address and resolve member grievances. Serve as the… more
- HUB International (Newport Beach, CA)
- …region's PEO client programs. This role focuses on analyzing group census and claims data, preparing competitive quotes, and partnering with the sales and onboarding ... Duties and Responsibilities:** + Review and analyze census data, demographics, and claims experience for prospective groups to determine risk and appropriate rating.… more