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?
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.
