Medical Claims Processing Professional
5 days ago
Join Liberty Health System as a Medical Claims Processing Professional and be part of a team dedicated to delivering exceptional patient care.
About the RoleThis is a unique opportunity to leverage your skills in medical claims processing, pharmacy billing, and customer service to make a meaningful impact in our organization.
Main Responsibilities:- Manage daily claims processing for discharged residents
- Obtain prior approvals for services requiring authorization by payer
- Process incoming calls related to assigned pharmacy accounts
- Communicate with insurance companies regarding denials, rejections, and prior approvals on prescriptions/orders
- High School Graduate or equivalent level of education
- Certified Pharmacy Technician preferred
- Billing experience and familiarity with Part D Pharmacy Insurance Plans required
- Ability to maintain confidentiality and perform basic accounting tasks
This role requires strong communication skills, attention to detail, and ability to work in a fast-paced environment.
Estimated Salary: $60,000 per year-
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