RCO - Prior Authorization Claims Specialist
2 weeks ago
PharmScript is one of the nations leading pharmacies, partnering with long-term and post- acute care facilities to supply medications to thousands of residents and patients. When you join the PharmScript family, you join the ranks of more than 2,000 dedicated people across the country who help to get safe, accurate, and timely medication to those who need it most.Were looking for a RCO-Prior Authorization Claims Specialist to join our PharmScript team within our Revenue Cycle Operations department. The Prior Authorization Claims Specialist reports to the Prior Authorization Claims Supervisor within the Revenue Cycle Operations department.Theidealcandidateisapeoplepersonwhoenjoystroubleshootingandresolvingproblems and is dedicated to helping customers. For you, no task feels too small and no challenge impossible. Excellent communication and interpersonal skills areessential.
Responsibilities
Key Responsibilities:
Responsible for the daily workflow of rejected prior authorization and non-formulary claims within compliant guidelines
Communicate directly with the Lead Prior Authorization Claims Specialist with all identified challenges, successes, and concerns from all internal and external customers
Communicate with other team members throughout RCO, operations, customer success and cost containment to deliver additional value to contracted long term care facilities
Work special projects as needed
Research and respond to customer billing issues/reports in timely manner
Maintain professional internal and external relationships that reflect the values of PharmScript
Qualifications
Qualifications:
High school diploma
Experience with prior authorization/interchange adjudication
Able to work independently as well as in a diverse, team environment
Experience in long term care preferred
Skills and Abilities:
Able to identify and resolve issues quickly and efficiently
Excellent communication and organizational skills
Able to work under pressure and meet deadlines
Must be able to work in a fast-paced environment
Strong analytical, problem solving and strategic thinking skills
Ability to manage and develop diverse teams
Strong leadership and customer service skills
Moderate to advanced computer skills required
Proficient in Microsoft Office
EEO Statement: PharmScript is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation and gender identity or any other status protected by federal, state or local law.EO/Minorities/Females/Disabled/Veterans
#J-18808-Ljbffr
-
Staffing Assistant
2 weeks ago
Lebanon, United States Integrity Staffing Solutions Full timeStaffing Assistant (Temporary Role) Integrity Staffing Solutions is seeking a customer service-oriented individual to work in our offices and staff hiring events. In this role, you will support the hiring process by completing pre-hire paperwork and screening activities while providing customer service to the candidates visiting the office. This is a great...
-
SUPPLY TECHNICIAN
Found in: Dice One Red US C2 - 1 day ago
Lebanon, United States Department of the Army Full timeDuties * Responsible for the day-to-day logistical and maintenance programs for the unit. * Researches, coordinates and requests all classes of supply, loan items, and training aids for the unit's training and operations. * Functions as the unit's principal advisor to ensure the implementation of the Command Supply Discipline Program. * Responsible for the...
-
Sales and Service Specialist
Found in: beBee jobs US - 1 day ago
Lebanon, Pennsylvania, United States Fulton Bank Full timeValue PropositionOur values define us and our culture inspires us to change lives for the better. Our employees are the heart and soul of our company, and every success we experience begins with them. Together we are committed to making a positive impact in our local communities. We champion a culture of continuous learning, work-life integration, and...
-
Staffing Assistant
2 weeks ago
Lebanon, United States Integrity Staffing Solutions Full timeStaffing Assistant (Temporary Role)Integrity Staffing Solutions is seeking a customer service-oriented individual to work in our offices and staff hiring events. In this role, you will support the hiring process by completing pre-hire paperwork and screening activities while providing customer service to the candidates visiting the office. This is a great...
-
Sr. Benefit Specialist
4 days ago
Lebanon, United States ADVICS North America, Inc. Full timeJob DescriptionJob DescriptionSummaryThe Sr. Benefits Specialist is responsible for supporting the planning, design, development, and administration of ADVICS Corporate Benefits programs. Performs as a liaison between the company Benefits Broker, Human Resources, and Senior Management teams of the ADVICS Group companies to ensure the effective communication...
-
Sr. Benefit Specialist
1 week ago
Lebanon, United States ADVICS North America, Inc. Full timeJob DescriptionJob DescriptionSummaryThe Sr. Benefits Specialist is responsible for supporting the planning, design, development, and administration of ADVICS Corporate Benefits programs. Performs as a liaison between the company Benefits Broker, Human Resources, and Senior Management teams of the ADVICS Group companies to ensure the effective communication...
-
Support Services Representative
Found in: Talent US C2 - 16 hours ago
Lebanon, United States Tenet Healthcare Full timeAs a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations...
-
Senior Clinical Secretary
2 days ago
Lebanon, United States Dartmouth-Hitchcock Concord Full timeOverview Schedules procedures and appointments using knowledge of information received from a variety of sources. Schedules patients for same-day inpatient procedures, and orders appropriate blood work. Schedules patients for lab testing, ancillaries, physician appointments, ICD and pacemaker appointments. Coordinates inpatient transfers and admissions. May...
-
Salesperson - Pa
Found in: Jooble US O C2 - 5 days ago
Lebanon, PA, United States MAJIK Enterprises International Inc. Full timeMedical, Dental and Vision Insurance We are seeking a highly motivated and experienced Sales Specialist to join our team. The ideal candidate will have a proven track record of success in sales and a passion for delivering exceptional customer service. As a Sales Specialist, you will be responsible for driving sales growth and building strong relationships...
-
Salesperson - Pa
Found in: Jooble US O C2 - 2 weeks ago
Lebanon, PA, United States MAJIK Enterprises International Inc. Full timeMedical, Dental and Vision Insurance We are seeking a highly motivated and experienced Sales Specialist to join our team. The ideal candidate will have a proven track record of success in sales and a passion for delivering exceptional customer service. As a Sales Specialist, you will be responsible for driving sales growth and building strong relationships...
-
Senior Project Manager
2 weeks ago
Lebanon, United States Servpro of Wilson County Full timePosition Summary When a commercial restoration job is large enough to require multiple Project Managers to manage different buildings or parts of the job, a Senior Project Manager may be designated for the project and thus assumes the duties and responsibilities normally assigned to the PM. When a SPM is utilized, the SPM becomes the "chief" or ultimate...
-
Insurance Sales Representative
1 week ago
Lebanon, United States Dustin Wallin Farmers Insurance Full timeJob DescriptionJob DescriptionJoin Dustin Wallin Farmers Insurance, a reputable insurance agency located in LEBANON, Tennessee. We are dedicated to providing excellent insurance products and personalized services to our clients. As an Insurance Sales Representative, you will play a crucial role in helping individuals and families protect what matters most to...
-
Sales and Service Specialist
Found in: Resume Library US A2 - 2 days ago
Lebanon, Pennsylvania, United States Fulton Bank Full timeValue Proposition: Our values define us and our inspires us to Our employees are the heart and soul of our company, and every success we experience begins with them. Together we are committed to making a positive impact in our We champion a culture of and We promote a digitally enabled work environment to continuously enhance the experience of our...
-
Sales and Service Specialist
Found in: Resume Library US A2 - 2 days ago
Lebanon, Pennsylvania, United States Fulton Bank Full timeEmployee Value Proposition: Our values define us and our inspires us to Our employees are the heart and soul of our company, and every success we experience begins with them. Together we are committed to making a positive impact in our We champion a culture of and We promote a digitally enabled work environment to continuously enhance the experience of...
-
Medical Assistant
Found in: Talent US C2 - 2 weeks ago
Lebanon, United States Surgery Partners Full timeJOB TITLE : Medical Assistant GENERAL SUMMARY OF DUTIES : Responsible for performing or assisting with a variety of tasks in a clinical setting including: patient preparation, physical and drug screen collection, sterile techniques, instrument care, medications and injections procedures. Communicates with patients, physician offices and testing...
-
Sale Representative
2 days ago
Lebanon, United States Oliver Fire Protection & Security Full timeThis is a high-impact, high-visibility role. As a critical part of Oliver’s growth and customer retention, this person will cultivate relationships with our current customer base and create new opportunities to build relationships. In this new role, you will leverage your prior Customer Success leadership and experience to create high impact, scalable...
-
Dermatology Research Fellow
2 days ago
Lebanon, United States Dartmouth Health Full timeDartmouth Health's dermatology program started in 1947 with one physician. Today we have 14 faculty members, nine residents, and three fellowships on our main campus in Lebanon, NH. Last year, we saw more than 50,000 patients and performed over 2,000 Mohs surgeries. We also run 14 specialty and multidisciplinary clinics for people who might otherwise have...
-
Senior Cost Manager
2 weeks ago
Lebanon, United States Turner & Townsend Full time**Company Description** From the inception of a project through to completion and beyond, Turner & Townsend help to deliver the outcomes that matter through transformational programs covering the full spectrum of consultancy, project delivery and post-project operations. With offices located globally, you're never far away from our services. Working from 113...
-
HVAC Install Helper
3 weeks ago
Lebanon, United States JB Heating and Air Conditioning Full timeJob DescriptionJob DescriptionJob descriptionTake Control of Your ClimateWho We AreAt JB Heating and Air Conditioning LLC, our commitment lies in delivering unparalleled HVAC services that not only meet but exceed customer expectations. With a proven track record of satisfaction from both clients and teammates, we prioritize superior craftsmanship, attention...
-
Medical Assistant
1 week ago
Lebanon, United States PRIDE Healthcare Full timeJob DescriptionJob DescriptionPosted Job Title: Medical AssistantNumber of people to hire for this job: 1Location: Lebanon, IN USA 46052Shift: 8 am-5 pmJob Type: 3-Months W2 contract Hours per week: 40Job Description: Pride Health is hiring a Medical Assistant to support our client’s medical facility based in Lebanon, IN This is a 3 Months with the...