- SpartanNash (Fenton, MI)
- …service, utilizing the computer systems to maintain patient profiles and insurance claims , and checking out patients that ensures that the shift contributes to ... take inventory of medications (prescription and over the counter). + Notify Pharmacy Manager of supplies/products that need to be ordered. + Receive… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- …NYM when necessary. + Follow up and resolved pending billing issues. Billing Pharmacy Representative Requirements: + HS diploma or equivalent. + Courteous and ... Job Description SpecialtyRx is a full-service pharmacy . We need Billing Representative with...environment is a must. + Experience in New York Pharmacy billing claims . (Preferred) + Frameworks/ECM knowledge… more
- Access Dubuque (Dubuque, IA)
- …Health Center Client Service Representative Cottingham & Butler/ SISCO Claims Representative Cottingham & Butler/ SISCO Tenant Associate (part-time) MercyOne ... Representative Specialist I-full time **MercyOne** 1 Positions ID:...units, extensive outpatient rehabilitation services, home health care, retail pharmacy and a wide range of outpatient, community and… more
- Molina Healthcare (Milwaukee, WI)
- …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
- Molina Healthcare (Dallas, TX)
- …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
- 32BJ Benefit Funds (New York, NY)
- …Range: 54964.76 To 54964.76 (USD) Annually Job Title: Member Services Representative (Benefits Specialist) Department: Member Services The 32BJ Benefit Funds is ... SRSP, Shortman). + Handling of inquiries through vendors, Medical, Optical, Pharmacy , Dental and Employee Assistance. + Follow workflows to resolve participant… 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
- CVS Health (Tallahassee, FL)
- …to assist members in understanding components of the Aetna products including claims , accumulators, usage and balances and cost sharing. Provides support to the ... deliver successful cost-saving transitions of care. A proven background in medical/ pharmacy benefits, particularly as these relate to infused specialty medications.… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Specialist is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing ... RESPONSIBILITIES + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement...environment PHYSICAL DEMANDS The physical demands described here are representative of those that should be met by an… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …Specialist is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing ... and respect. DUTIES/RESPONSIBILITIES: + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing… more