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Claims Specialist - 3rd Party
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$19 - $21 an hour
Full-time
- PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients.
- We offer a non-retail pharmacy environment.
- Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
- Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
- Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
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