new job opening pharmacy insurance specialist in woonsocket, ri, usa - , RI, United States - Rose International

Description

Job Description

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.**

Position Summary

• As a Pharmacy Insurance Specialist, you will be responsible for ensuring that all required third-party insurance settings are coded and maintained appropriately within the pharmacy adjudication system.

• The Pharmacy Insurance Specialist will perform extensive testing and documentation to ensure accurate prescription claims processing while remaining in compliance with pharmacy standards and payer requirements.

• As a part of the Network Operations team, this role allows you to analyze third-party programs, and investigate and resolve systemic issues relative to prescription claims processing that interfaces with stores, providers, patients, pricing, and financial impacts to the company.

Required Qualifications:

• 1+ year related experience in a pharmacy, PBM, or insurance position

• 1+ years of experience using Microsoft Word and Excel

Preferred Qualifications:

• Pharmacy Technician Experience within the past 5 years

• Previous experience with business-to-business, interdepartmental, or customer interactions

• Retail Pharmacy help desk experience

• Experience with SQL or Access

Education

• Verifiable High School diploma or GED is required.

Benefits:
For information and details on employment benefits offered with this position, please visit here . Should you have any questions/concerns, please contact our HR Department via our secure website .

California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here .

Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department .

Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/