Billing specialist

A-Line Staffing is now hiring Pharmacy Insurance Specialist in Woonsocket, RI USA 02895. The Pharmacy Insurance Specialist would be working for a Fortune 500 company and has career growth potential.

This would be full time / 40 hours per week.

If you are interested in this Pharmacy Insurance Specialist position, please apply to this posting

Pharmacy Insurance Specialist Compensation

• The pay for this position is $25.74 per hour
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Pharmacy Insurance Specialist Highlights

• This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
• The required availability for this position is M-F 8 : 30-5 - Onsite Tuesday-Thursday

Pharmacy Insurance Specialist Responsibilities

As a Pharmacy Insurance Specialist, you will be responsible for ensuring that all required third party insurance settings are coded and maintained appropriately within the pharmacy adjudication system.

The Pharmacy Insurance Specialist will perform extensive testing and documentation to ensure accurate prescription claims processing while remaining in compliance with pharmacy standards and payer requirements.

• Receiving third party program contract updates and creating or modifying third party plan configurations necessary to comply with industry standards, contract agreements and state and federal regulations
• Working with Pharmacy Application Development teams in Information Systems (IS) to provide prescription claims processing support for all system related issues or enhancements including defining business scenarios and testing procedures, analyzing production issues for any potential causes and recreating all known defects in test environments to assist development
• Working cross-functionally within the department to provide quality assurance within Pharmacy Operations by executing various scenarios affecting data quality, prescription claim processing and providing in-depth analysis of the results

Pharmacy Insurance Specialist Requirements

• 1 year related experience in a pharmacy, PBM, or insurance position
• 1 years of experience using Microsoft Word and Excel

Preferred Qualifications :

• Pharmacy Technician Experience within the past 5 years
• Previous experience with business-to-business, interdepartmental, or customer interactions
• Retail Pharmacy help desk experience
• Experience with SQL or Access

Education :

Verifiable High School Diploma or GED

If you think this Pharmacy Insurance Specialist position is a good fit for you, please apply to this posting!

134799

Healthcare, call center, mail order medications, Insurance Verification, Medicare, Medicaid, Medical billing, EOB, Benefit, Patient Service, PBM, Enrollment, Provider Services, Pharmacy, prior authorization, reimbursement counselor, Medical customer service, inbound calls, outbound calls, answer phones, make calls, medical terminology, medical office, medical claims, healthcare claims, claims processing

Last updated : 2024-04-29