Required Knowledge, Skills, & Training:. 1. Minimum 3 years of experience in patient accounts, BV and/or collections with specialty pharmacy experience. 2. Familiar with AR and operational health care systems.. 3. Experience with Microsoft applications (Excel, Word, PowerPoint, etc.). 4. Familiar with the authorization process, appeal process and other processes/procedures integral to AR collection efforts. 5. Experience with billing and foundation assistance application procedures. 6. Able to multitask and utilize excel in a fast-paced working environment. 7. Able to problem solve and assist ... view job details
Required Knowledge, Skills & Training. 1+year experience with Major Medical Insurance & Pharmacy Drug Benefits. Knowledge of Pharmacy Insurance Plans. Knowledge of HCPC Codes (J-Codes). Knowledge of ICD-10 Codes (Diagnoses Codes). Familiar with medical documentation such as History & Physicals (H&P)'s. Genetic testing, etc. Ability to read prescription referral information and convert to PA form. Ability to convert a prescription into an authorization request based on payer requirements. Ability to locate medical policies with the insurance plan information. Able to use Cover My Meds or other ... view job details
Required Knowledge, Skills & Training:. 1. Experience with Major Medical Insurance. 2. Knowledge of pharmacy benefit. 3. Knowledge of HCPCs codes. 4. Able to multitask. 5. Able to work well in a fast-paced working environment. Essential Job Duties:. 1. Perform medical and pharmacy benefit verifications. 2. Submit and obtain prior authorization with insurance companies. 3. Troubleshoot pharmacy claims rejections. 4. Perform monthly re-verifications. 5. Partner with Accounts Receivable to resolve benefit issues. 6. Other related duties as assigned view job details
Required Knowledge, Skills & Training:. 1. Experience with Major Medical Insurance. 2. Knowledge of pharmacy benefit. 3. Knowledge of HCPCs codes. 4. Able to multitask. 5. Able to work well in a fast-paced working environment. Essential Job Duties:. 1. Perform medical and pharmacy benefit verifications. 2. Submit and obtain prior authorization with insurance companies. 3. Troubleshoot pharmacy claims rejections. 4. Perform monthly re-verifications. 5. Partner with Accounts Receivable to resolve benefit issues. 6. Other related duties as assigned view job details
Required Knowledge, Skills & Training:. 1. Experience with Major Medical Insurance. 2. Knowledge of pharmacy benefit. 3. Knowledge of HCPCs codes. 4. Able to multitask. 5. Able to work well in a fast-paced working environment. Essential Job Duties:. 1. Perform medical and pharmacy benefit verifications. 2. Submit and obtain prior authorization with insurance companies. 3. Troubleshoot pharmacy claims rejections. 4. Perform monthly re-verifications. 5. Partner with Accounts Receivable to resolve benefit issues. 6. Other related duties as assigned view job details
Required Knowledge, Skills, & Training:. - Certified Pharmacy Technician, Preferred. - Previous leadership/management experience. - Experience with Major Medical Insurance. - Knowledge of pharmacy benefits, rejection codes, and claims processing. - Knowledge of HCPCs codes. - Able to multitask. - Able to work well in a fast-paced working environment.. Essential Job Duties:. - Monitors the production and quality of the work produced by the team using a variety of reports and audit tools. Makes adjustments to assignments daily to achieve maximum results. Ensures account audits are completed we... view job details
Required Knowledge, Skills & Training:. 1. Experience with Major Medical Insurance. 2. Knowledge of Pharmacy Benefit. 3. Knowledge of HCPC Codes (J-Codes). 4. Knowledge of ICD-10 Codes (Diagnoses Codes). 5. Familiar with medical documentation such as H&P’s, Genetic testing, etc. 6. Ability to read prescriptions. 7. Ability to convert a prescription into an authorization request based on payer requirements. 8. Ability to interpret medical policies. Essential Job Duties:. 1.Contact plans (PBM or Major Medical) to validate request sent from BV. 2. Contact physician’s office to obtain current pres... view job details
Required Knowledge, Skills & Training:. 1. Experience with Major Medical Insurance. 2. Knowledge of Pharmacy Benefit. 3. Knowledge of HCPC Codes (J-Codes). 4. Knowledge of ICD-10 Codes (Diagnoses Codes). 5. Familiar with medical documentation such as H&P’s, Genetic testing, etc. 6. Ability to read prescriptions. 7. Ability to convert a prescription into an authorization request based on payer requirements. 8. Ability to interpret medical policies. 9. Prior pharmacy experience preferred. Essential Job Duties:. 1.Contact plans (PBM or Major Medical) to validate request sent from BV. 2. Contact p... view job details
Required Knowledge, Skills & Training:. High School Diploma or Equivalent required. Ability to work cooperatively with others and to function as a member of a team. Computer experience, data entry. Good communication skills. Basic mathematical skills. Reconciliation skills. Essential Job Duties:. Post to the accounts receivable all cash received from customers and third party payers, and perform Electronic Remittance Notification downloads in a timely manner by month end. Ensure that the monies posted to accounts receivable equal bank deposit and maintain records of cash application. Provide c... view job details
Required Knowledge, Skills & Training:. High School Diploma or Equivalent required. Ability to work cooperatively with others and to function as a member of a team. Computer experience, data entry. Good communication skills. Basic mathematical skills. Reconciliation skills. Essential Job Duties:. Post to the accounts receivable all cash received from customers and third party payers, and perform Electronic Remittance Notification downloads in a timely manner by month end. Ensure that the monies posted to accounts receivable equal bank deposit and maintain records of cash application. Provide c... view job details