- Centene Corporation (Phoenix, AZ)
- …+ Review benefit/formulary setup and testing (new and year over year). + Conduct claims analysis + Performs other duties as assigned + Complies with all policies and ... standards **Education/Experience:** High School Diploma or GED 2+ years of pharmacy experience in managed care environment preferred **License/Certification:** Current state's Pharmacy Technician license preferredPay Range: $19.43 - $32.98 per hour Centene… more
- University of Rochester (Rochester, NY)
- …for non-routine letters of correspondence related to appeals on denied claims , including compiling all necessary information and drafts for provider signature. ... Manages provider(s) documentation and information. Composes and types non-routine correspondence providing factual information. Arranges travel, conference registration, and hotel accommodations. Interfaces with organizations, hospitals, and others to… more
- CVS Health (Woonsocket, RI)
- …and/or Rebate knowledge beneficial. + Experience with Caremark business systems, claims adjudication, formulary, drug, and client systems with an emphasis on ... the RxClaim adjudication platform beneficial. + Medicare knowledge beneficial. + Ability to work independently and with people across functional area. + Ability to work in a hybrid team environment. + Strong reading comprehension skills. + Capability to… more
- Molina Healthcare (Kearney, NE)
- …member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care. + Provides ... exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal… more
- Walmart (Plainfield, IN)
- …rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and ... other required documentation; and maintaining a safe and clean work environment. . Ensures fulfillment of pharmacy prescriptions in an automated central fill pharmacy in order to maintain a continuous and consistent work-flow to meet daily production and… more
- Whirlpool Corporation (Benton Harbor, MI)
- …and collections with emphasis on internal routines such as cash application, claims , accounting, letters of credit, bankruptcy, and the Uniform Commercial Code, and ... an understanding of the Sales and Logistics (Reverse Logistics) areas. + Excellent communicator, possess good analytical and problem solving skills, act independently and negotiate win-win solutions with a wide range of customers and internal Whirlpool process… more
- Walmart (Plainfield, IN)
- …rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and ... other required documentation; working towards obtaining national certifications; shadowing Pharmacy Technicians and Certified Pharmacy Technicians; and maintaining a safe and clean work environment. + Assists in fulfillment of pharmacy prescriptions under the… more
- Walmart (Rogers, AR)
- …rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and ... other required documentation; and maintaining a safe and clean work environment. + Ensures fulfillment of pharmacy prescriptions in an automated central fill pharmacy in order to maintain a continuous and consistent work-flow to meet daily production and… more
- Walmart (Frederick, MD)
- …rotating merchandise and supplies from distribution centers and suppliers handling claims and returns completing maintaining and securing paperwork forms and other ... required documentation and maintaining a safe and clean work environment. + Ensures fulfillment of pharmacy prescriptions under the supervision of a pharmacist in an automated central fill pharmacy in order to maintain a continuous and consistent workflow to… more
- University of Washington (Seattle, WA)
- …as part of UW Medicine coordinated quality assurance programs. + Identify potential claims to reduce their adverse effects on the organization's human, physical and ... financial assets and collaborate as necessary with others in the management of claims . This position provides both strategic direction and direct intervention in the… more