What are the responsibilities and job description for the Pharmacy Denial Specialist, Pharmacy Business Affairs, $4000 Bonus, FT, 8:30a-5p position at National Community Pharmacists Association?
Sign-On Bonus : Up to $4,000
Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. Baptist Health is supported by philanthropy and committed to its faith-based charitable mission of medical excellence.
Our mission, vision, and values make us who we are at Baptist Health and are at the center of everything we do. At Baptist Health, we positively impact the human experience for patients, employees, and physicians. Our success comes from a culture of quality and dedication that is instilled into every member of the Baptist Health family.
This year, and for 24 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, based on employee feedback. We’ve also been recognized as one of America’s Most Innovative Companies and People Magazine included us in 50 Companies That Care. Based on the U.S. News & World Report 2023-2024 Best Hospital Rankings, Baptist Health is the most awarded healthcare system in South Florida, with its hospitals and institutes earning 45 high-performing honors.
Description :
Identify and streamline the denials process in an effort to improve and optimize the recovery efforts and maximize productivity. Assist with the review of medical record documentation for the overturning of medication-related denials generated by insurance companies. Serves as a resource for Denials Management and other departments within BHSF to proactively avoid unnecessary appeals. Responsible for maintaining a file containing all pertinent information on denials and issues in order to communicate all issues to teammates and management. Work closely with a multidisciplinary team to evaluate and improve the denial management, documentation and appeals process. Engages in activities that produce an increase in cash collections for the department.
Qualifications : Degrees :
- Associates.
Additional Qualifications :
For more information and to apply, please visit : https : / / careers.baptisthealth.net / us / en / job / 147476 / Pharmacy-Denial-Specialist-Pharmacy-Business-Affairs-4000-Bonus-FT-8-30a-5p&src=PA-11040
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
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