- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** Job Description Summary The Pharmacy Claims Representative assists local pharmacies with claims ... up and maintaining hospice/facility/ pharmacy relationships under the direction of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support… more
- IQVIA (Philadelphia, PA)
- **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
- AmeriHealth Caritas (Philadelphia, PA)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... tasks for coordination of member and/or provider appeals, the analysis of claims and appeals, and the review of medical management authorizations.; + Research… more
- AbbVie (Pittsburgh, PA)
- …Educate on product-specific acquisition and access options such as specialty pharmacy networks, specialty distribution, and white-bagging support + Educate on ... order to educate providers on payer issues, coding changes, and appropriate claims submission processes + Liaise with AbbVie's Access and Reimbursement support… more