PHARMACY SPECIALIST- REMOTE

Employer Industry: Pharmacy Services

Why Consider This Job Opportunity

• Competitive pay
• Opportunity for career advancement and growth within the organization
• Work remotely anywhere within the continental U.S.
• Comprehensive health, dental, vision, and life insurance benefits
• Tuition assistance and reimbursement programs
• Non-retail/closed-door pharmacy environment
  
  

What To Expect (Job Responsibilities)

• Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing
• Research, analyze, and resolve rejected claims with national Medicare D plans, third party insurance companies, and state Medicaid plans
• Monitor and resolve at-risk revenue associated with payer set up, billing, rebilling, and reversal processes
• Identify, document, communicate, and resolve payer/billing trends and issues within a team
• Prepare and maintain reports and records for processing
  
  

What Is Required (Qualifications)

• Must have a High School Diploma or GED
• Customer service experience is required
• Ability to retain a large amount of information and apply knowledge to related situations
• Basic math aptitude and proficiency in Microsoft Office Suite
• Knowledge of the insurance industry's trends, directions, major issues, and regulatory considerations
  
  

How To Stand Out (Preferred Qualifications)

• Up to one year of related experience or Pharmacy Technician experience
• Associate's or Bachelor's Degree is desired but not required
  
  

#PharmacyServices #CustomerService #CareerOpportunity #RemoteWork #HealthcareIndustry

At Talentify, we prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.

Talentify is not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

Talentify helps candidates around the world to discover and stay focused on the jobs they want until they can complete a full application in the hiring company career page/ATS.