What are the responsibilities and job description for the Pharmacy Technician Claims Specialist, Evenings (1:00 PM - 9:00 PM) - West Henrietta, NY position at RPh on the Go?
Job Description
Job Description
Minimum 1 years pharmacy experience required.
We are seeking a Claims Specialist for an 8-week contract-to-hire opportunity in an Long-Term Care (LTC) Mail Order Pharmacy in West Henrietta, NY.
Schedule : Monday - Friday, 1 : 00 PM to 9 : 00 PM.
Responsibilities :
Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing
Research, analyze, and resolve rejected claims by working with national Medicare D plans, third-party insurance companies, and state Medicaid plans
Ensure approval of claims by performing appropriate edits and / or reversals
Monitor and resolve at-risk revenue associated with payer setup, billing, rebilling, and reversal processes
Identify, document, communicate, and resolve payer / billing trends and issues as part of a team
Review and work to convert billing
Requirements :
Pharmacy Technician experience
Customer Service experience
Ability to retain a large amount of information and apply it to related situations
Ability to work in a fast-paced environment
Basic math aptitude
Desired knowledge of the insurance industrys trends, directions, major issues, regulatory considerations, and trendsetters
Pharmacy Technician License.
For more information on this position and other opportunities with RPh on the Go, please contact . Send your updated resume to or call .
