- Working with Pharmacy Application Development teams in Information Systems (IS) to provide prescription claims processing support for all system related issues or enhancements including defining business scenarios and testing procedures, analyzing production issues for any potential causes and recreating all known defects in test environments to assist development Working cross functionally within the department to provide quality assurance within Pharmacy Operations by executing various scenarios affecting data quality, prescription claim processing and providing in depth analysis of the results
1+ year related experience in a pharmacy, PBM, or insurance position 1+ years of experience using Microsoft Word and Excel. -
Pharmacy Insurance Specialist
3 weeks ago
US Tech Solutions, Inc. Atlanta, United StatesDuration: 12+ months contract · Job Description: · 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 Sp ...
-
Pharmacy Insurance Specialist
2 weeks ago
US Tech Solutions Atlanta, United StatesDuration: 12+ months contract · Job Description: · 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 Sp ...
-
Insurance Account Specialist
1 day ago
EPIC Insurance Brokers & Consultants Alpharetta, United StatesGreyling Insurance Brokerage & Risk Consulting, a division of EPIC, is a specialty insurance brokerage and risk consulting firm focused on construction and design professionals. What differentiates us is our Architects, Engineers, and Construction (AEC) industry expertise. Our le ...
-
Commercial Loan Insurance Specialist
2 weeks ago
US Tech Solutions, Inc. Atlanta, United States PermanentJob Title: Commercial Loan Insurance Specialist · Location: Remote · Duration: 9 months contract (with possible extension) · * Employment Type: W-2 · Job Description: · Must have some type the following industry experience: Loan Servicing, Commercial Insurance, Real Estate. ...
-
Insurance Follow-Up Specialist
2 weeks ago
Atlanta Women's Healthcare Specialists LLC Atlanta, United StatesJob Summary: · The Insurance Follow-Up Billing Specialist position is expected to meet all A/R department collection and follow-up performance expectations. The Insurance Follow-Up Specialist is a highly skilled, multi-tasking position that incorporates all key functions of the ...
-
Insurance Verification Specialist I
2 days ago
North Coast Medical Supply LLC Atlanta, United StatesJob Type · Full-time · Description · About Our Company · Advanced Diabetes Supply was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has c ...
-
Insurance Verification Specialist
1 day ago
Family Practice Center, PC Sandy Springs, United StatesJob Description · Job DescriptionFamily Practice Center in Atlanta, GA is looking for an insurance verification specialist to join our 65 person strong team. We are located on 993 Johnson Ferry Rd Ne F210. Our ideal candidate is attentive, ambitious, and engaged. · Responsibiliti ...
-
Insurance Premium Specialist
2 weeks ago
Positive Impact Health Centers INC Atlanta, United StatesJob Description · Job DescriptionDescription:Are you seeking a career with a growing company, a place where you can make an impact in the community? Then Positive Impact Health Centers is the company for you. · Positive Impact Health Centers (PIHC) is a community leader in provid ...
-
Capstone Search Group Atlanta, United StatesJob Description · Job DescriptionAbout the Role · The Insurance Agency Claims Specialist is responsible for claims handling for an Atlanta based insurance agency's property and casualty portfolio. You support the sales and service teams along with the senior claims leader with th ...
-
Medix Atlanta, United StatesJob Description · Job DescriptionJob Summary: · We're looking for someone who believes that each and every member deserves world-class service and · goes above and beyond to make sure that service is delivered. Our care coordinators have a demanding · job helping individuals navi ...
-
Insight Global Atlanta, United StatesJob Description · Job DescriptionResponsibilities include: · Receives requests for appointments from physician's offices and/or employers and makes the necessary pre-admission arrangements, referring to lists of dates allotted for scheduling, and advising physicians' office staff ...
-
Commercial Loan Insurance Specialist
3 weeks ago
US Tech Solutions Atlanta, United StatesJob Title: Commercial Loan Insurance Specialist · Location: Remote · Duration: 9 months contract (with possible extension) · * Employment Type: W-2 · Job Description: · Must have some type the following industry experience: Loan Servicing, Commercial Insurance, Real Estate. · C ...
-
Commercial Loan Insurance Specialist
2 weeks ago
US Tech Solutions Atlanta, United StatesJob Title: Commercial Loan Insurance Specialist · Location: Remote · Duration: 9 months contract (with possible extension) · Employment Type: W-2 · Job Description: · Must have some type the following industry experience: Loan Servicing, Commercial Insurance, Real Estate. ...
-
After Hours Dental care Sandy, United StatesJob Description · Job Description · Job Title: Dental Practice Insurance Coordinator and Front Desk · Job Summary · We are a unique dental office that provides evening and weekend dental care to help expand accessibility in Utah. We offer all types of dental treatment from preve ...
-
Insurance Sales Specialist
2 days ago
Belinda Shu Insurance Agency - American Family Insurance Lilburn, United StatesBenefits: · Bonus based on performance · Competitive salary · Dental insurance · Employee discounts · Flexible schedule · Paid time off · The Belinda Shu American Family Insurance Agency in Lilburn, GA is currently looking for a highly motivated, positive and experienced individu ...
-
Aon Atlanta, United States Regular, Full or Part timeExecutive Benefits Specialist, Individual Disability Insurance · Are you looking to be a member of an industry-leading team? Do you want to deliver innovative and effective solutions? If you said yes, then apply to our Executive Benefits Specialist position · This is a hybrid ro ...
-
Social Insurance Specialist
3 weeks ago
US Government Other Agencies and Independent Organizations Villa Rica, United StatesSummary · LOCATION: This position is located in the SSA, Villa Rica Field Office, 908 S. Carroll Rd., Villa Rica, GA · TOUR OF DUTY: Full-Time, Monday through Friday 8-hours per day. Flextime and alternative work schedules may be available. NOTE: Part-Time employees are eligibl ...
-
Medican Insurance Verification Specialist
2 weeks ago
Advanced Recruiting Partners Marietta, United StatesESSENTIAL DUTIES AND RESPONSIBILITIES: Receive assigned insurance verification requests (IVR's) from data intake; call Health Plan to obtain benefit coverage levels and prior authorization requirements to determine payer reimbursement; submit required preauthorization/predetermin ...
-
Insurance Specialist with Sports Background
3 weeks ago
Northwestern Mutual - Sugarloaf Roswell, United StatesJob Description · Job DescriptionBenefits:401(k) · Bonus based on performance · Company parties · Dental insurance · Flexible schedule · Health insurance · Opportunity for advancement · Training & development · Vision insurance · The Northwestern Mutual - Sugarloaf District Offic ...
-
Customer Service Representative
3 weeks ago
Apex Solutions Atlanta, United StatesAbout the Company · Together, let's make things simple: Unleash your drive and unleash the full potential of your talents at ARTUS GROUP. Since 1981, we have combined the comprehensive, traditional role of an insurance broker with the services of a modern consulting company in 15 ...
Pharmacy Insurance Specialist - Atlanta, United States - US Tech Solutions
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
12+ months contract Job
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.
Receiving third party program contract updates and creating or modifying third party plan configurations necessary to comply with industry standards, contract agreements and state and federal regulations
Calling PBM Prior authorization
Verifiable High School Diploma or GED.