Pharmacy Claims Specialist

Position Overview:As a Claims Assessment Specialist, you will be responsible for evaluating complex Workers Compensation claims on behalf of our esteemed clients. Your expertise will play a crucial role in determining the appropriate benefits owed to claimants.Key Responsibilities:- Conduct thorough analysis of Workers Compensation claims to ensure accurate...

Medical Claims Support SpecialistContract Remote Position - Open to Remote Work in the USAs a leading global provider of commercial solutions, IQVIA possesses the expertise required to facilitate the delivery of healthcare products and services on both national and international levels. Our dedicated teams assist biopharma, medical device, and diagnostic...

Job DescriptionRTA US is currently looking for a Claims Specialist to assist in managing claims processes effectively. This role offers a fantastic opportunity to collaborate with a vibrant team and acquire significant experience in the Insurance Sector. There is potential for extension or conversion for the right candidate.Position: Claims...

Position Overview:As a Claims Processing Specialist for Patient Support Services, you will play a crucial role in facilitating payment assistance solutions for patients. This position is fully remote, allowing you to work from the comfort of your home.Key Responsibilities:1. **Claims Management:** Receive and evaluate medical claims submitted by healthcare...

About the RoleWe are seeking a highly skilled Pharmacy Technician to join our team at PharMerica. As a Pharmacy Technician, you will play a critical role in ensuring the accuracy and efficiency of our medication order system.Key ResponsibilitiesTriage and interpret medication orders, accurately inputting them into our computerized system while meeting...

PIP Claims SpecialistSedgwick, a leading provider of risk management and business solutions, is looking for a PIP Claims Specialist to enhance their team. This position focuses on the thorough investigation, negotiation, and resolution of personal injury protection (PIP) and medical payments (Med Pay) claims. The ideal candidate will possess extensive...

Senior Claims SpecialistChubb is seeking a highly skilled Senior Claims Specialist to join our team in Tampa, FL. As a key member of our claims team, you will be responsible for investigating facts, evaluating damages, and writing estimates for property claims.Responsibilities:Conduct onsite inspections to investigate facts and evaluate damagesEvaluate...

Job OverviewBCforward is seeking a dedicated Claims Processing Specialist to join our team. This role is essential for managing complex claims within our organization.Key ResponsibilitiesThe Claims Processing Specialist will be responsible for:Effective Communication: Clearly and professionally conveying intricate information to stakeholders to ascertain...

Company Overview BrightSpring Health Services Position Summary Join our BrightSpring Health Services team, where we operate a non-retail pharmacy dedicated to addressing the pharmaceutical needs of our long-term care and senior living clients. Our organization is experiencing significant growth, offering numerous advancement opportunities for those seeking...

{"title": "Claims Adjuster-1 - Workers Comp Claims Specialist", "content": "Job SummaryCopperPoint Insurance Companies is seeking a skilled Claims Adjuster-1 - Workers Comp Claims Specialist to join our team. As a key member of our claims team, you will be responsible for analyzing and investigating medical-only workers' compensation claims to determine...

About the RoleAt American Vision Partners, we are seeking a highly skilled Insurance AR Specialist to join our team. As an Insurance AR Specialist, you will play a critical role in collecting payments for assigned insurance accounts and performing follow-up duties in accordance with established federal and state regulations.Key ResponsibilitiesInsurance...

About Guardian PharmacyWe are a leading provider of long-term care pharmacy services, dedicated to delivering exceptional care and support to our clients and their patients.Job SummaryWe are seeking a highly skilled and motivated **Delivery Specialist** to join our team in Phoenix, Arizona. As a key member of our delivery team, you will be responsible for...

Job SummaryWe are seeking a highly organized and detail-oriented Medical Claims Specialist to join our team at Southwest Breast and Aesthetics LLC. As a Medical Claims Specialist, you will be responsible for accurately and efficiently processing medical claims, resolving billing issues, and maintaining accurate records.Key ResponsibilitiesClaims Processing:...

Job SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at Southwest Breast and Aesthetics LLC. As a Medical Claims Specialist, you will be responsible for accurately and efficiently processing medical claims, resolving billing issues, and maintaining accurate records.Key ResponsibilitiesClaims Processing: Accurately and timely...

Position Title: Medical Billing SpecialistCompany: LHH Recruitment SolutionsOverview: We are seeking a dedicated Medical Billing Specialist to join our team. This role involves managing follow-up and collections, as well as gathering essential information for efficient claims processing.Location: This position is based in Phoenix, AZ and requires full-time...

Position Overview:We are seeking a highly skilled and experienced professional for a temporary remote contract role that may transition to a permanent position. As a Senior Liability Claims Specialist, you will be responsible for managing commercial casualty claims, with a focus on litigated general liability cases.Key Responsibilities:1. Coverage Analysis:...

Job OverviewBenefits:Flexible Spending AccountLife Insurance401(k)Dental InsuranceHealth InsurancePaid Time OffVision InsurancePosition SummaryTrexis Insurance is seeking a dedicated full-time Auto Liability Claims Specialist. This role is designed for an experienced professional who will investigate, assess, negotiate, and resolve moderate to complex auto...

About PharMerica:PharMerica is a leading provider of comprehensive pharmacy solutions, dedicated to serving senior living communities, skilled nursing facilities, public health organizations, and post-acute care providers.Position Overview:As a Pharmacy Technician specializing in Order Entry, you will be integral to the precise and efficient management of...

Recognized as a Healthiest Employer, Blue Cross Blue Shield of Arizona is dedicated to its mission of promoting health and simplifying access to healthcare. AZ Blue provides a comprehensive range of health insurance solutions tailored to meet the varied needs of individuals, families, and businesses of all sizes, while also offering resources and tools to...

Job SummaryWe are seeking a highly motivated and detail-oriented individual to join our team as an Analyst - Network Management. This role will be responsible for addressing pharmacy contract non-compliance allegations, requiring a strong understanding of pharmacy operating systems and claims adjudication software.Key ResponsibilitiesReview non-compliance...