Job Title: Pharmacy Technician

Job Description

As a Pharmacy Technician, your primary responsibility will be to manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing, thereby eliminating financial risks. You will research, analyze, and resolve rejected claims, collaborating with national Medicare D plans, third-party insurance companies, and all state Medicaid plans. Your role includes performing edits and/or reversals to ensure maximum payer reimbursement and monitoring and resolving at-risk revenue associated with payer setup, billing, rebilling, and reversal processes. Furthermore, you will work as a team to identify, document, communicate, and resolve payer/billing trends and issues. Review and work to convert billing exception reports to ensure claims are billed to accurate financial plans. You will also prepare and maintain reports and records for processing and perform other tasks as assigned.

Hard Skills

• Pharmacy Technician Skills
• USP797 knowledge
• Data Entry

Soft Skills

• Problem-solving
• Teamwork
• Communication
• Attention to detail

Job Type

This is a contract position with a duration of 6 Month(s).

Work Site

This is a fully on-site position in Cypress, California.

Work Environment

The working hours for this position are from 4:30 pm - 1:00 am from Monday to Friday, with alternating weekends. There is a day off during the week when working weekends; the Saturday/Sunday shift remains the same. The work environment is a pharmacy setting.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent
• Maintaining an inclusive environment through persistent self-reflection
• Building a culture of care, engagement, and recognition with clear outcomes
• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.