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Claims Specialist
Pay$19.00 - $20.00 / hour
LocationLouisville/Kentucky
Employment typeFull-Time
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Job Description
- Req#: 164569
Employer Industry: Pharmacy Services
Why consider this job opportunity:
- Salary up to $20.00 per hour
- DailyPay available for immediate access to earned wages
- Flexible schedules with the option to work four 10-hour days
- Comprehensive benefits including health, dental, vision, and life insurance
- Opportunities for career advancement within a rapidly growing organization
- 100% remote position, allowing for work from anywhere in the Continental USA
What to Expect (Job Responsibilities):
- Manage and resolve rejected pharmacy claims to ensure timely billing and maximum reimbursement
- Research and analyze rejected claims while collaborating with national Medicare D plans and state Medicaid plans
- Perform edits and reversals to secure claim approvals and maximize reimbursements
- Monitor at-risk revenue related to payer setup, billing, and reversal processes
- Document and communicate payer/billing trends and issues as part of a collaborative team
What is Required (Qualifications):
- High School Diploma or GED required
- Experience in customer service is mandatory
- Ability to work in the Eastern Time Zone
- Basic math aptitude and familiarity with Microsoft Office Suite
- Ability to retain and apply a large amount of information in a fast-paced environment
How to Stand Out (Preferred Qualifications):
- Up to one year of experience in a related field
- Pharmacy Technician experience or knowledge of pharmaceuticals is preferred
- Associate's or Bachelor's Degree is desired
#PharmacyServices #ClaimsSpecialist #RemoteWork #CareerGrowth #CompetitivePay #CustomerServiceAbout the company
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