Pharmacy Claims Adjudication Specialist

Pharmacy Adjudication Specialist Job DescriptionWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy. As a Pharmacy Adjudication Specialist, you will play a critical role in ensuring the accurate and timely adjudication of pharmacy claims.Key Responsibilities:Adjudicate pharmacy claims, review claim responses...

Pharmacy Adjudication Specialist Job DescriptionWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy. As a Pharmacy Adjudication Specialist, you will play a critical role in ensuring the accurate and timely adjudication of pharmacy claims, resolving third-party rejections, and providing excellent customer...

Job Title: Pharmacy Adjudication SpecialistWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in New Hyde Park, NY. This is a full-time position with a hybrid work style, requiring a driving distance to our pharmacy.Job Summary:The Pharmacy Adjudication Specialist will be responsible for adjudicating...

Pharmacy Intern WantedOnco360 Pharmacy, a leading oncology pharmacy model, is seeking a part-time Pharmacy Intern to join our team in New Hyde Park, NY. This is a unique opportunity to gain hands-on experience in a dynamic and supportive environment.Responsibilities:Assist healthcare providers and patients by answering phone calls, responding to questions,...

About the RoleWe are seeking a highly skilled Senior Construction Defect Claims Specialist to join our team at Argo Group. As a key member of our claims team, you will be responsible for adjudicating construction defect claims and providing exceptional results for our clients.Key ResponsibilitiesAdjudicate construction defect claims at the highest authority...

Job SummaryAdaptHealth LLC is seeking a skilled Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for verifying patient insurance coverage, ensuring accurate billing, and resolving any issues that may arise.Key ResponsibilitiesVerify patient insurance coverage and ensure accurate billingResolve any...

About the RoleWe are seeking a highly skilled Senior Construction Defect Claims Specialist to join our team at Argo Group. As a key member of our claims team, you will be responsible for adjudicating construction defect claims and providing exceptional results for our clients.Key ResponsibilitiesAdjudicate construction defect claims with limited oversight,...

Pharmacy Order Entry Technician Job DescriptionWe are seeking a highly skilled Pharmacy Order Entry Technician to join our team at PharMerica. As a Pharmacy Order Entry Technician, you will play a critical role in ensuring the accuracy and efficiency of our pharmacy operations.Responsibilities:Triage, interpret, and input orders into our computerized...

Job SummaryWe are seeking a skilled Claims Specialist to join our team at Northwell Health. As a Claims Specialist, you will be responsible for performing various billing, collection, and third-party reimbursement functions.Key ResponsibilitiesReview and investigate claims to be adjudicated by the TPA, ensuring compliance with provider contracts and...

Job Title: Senior Technical Claims Specialist-General Liability/Bodily InjuryWe are seeking a highly skilled Senior Technical Claims Specialist-General Liability/Bodily Injury to join our team. As a key member of our claims team, you will be responsible for adjudicating complex general liability bodily injury claims for our customers.Key...

Job SummaryMetroPlus Health Plan is seeking a highly skilled Pharmacy Technician to join our team in the Medicare Operations department. As a Pharmacy Technician, you will play a critical role in ensuring the accuracy and efficiency of our pharmacy benefit configuration and prior authorization processes.Key ResponsibilitiesProcess and validate internal and...

Job SummaryWe are seeking a skilled Claims Examiner to join our team at ICONMA, LLC. As a Claims Examiner, you will be responsible for analyzing complex or technically difficult workers' compensation claims to determine benefits due. You will work with high exposure claims involving litigation and rehabilitation, ensuring ongoing adjudication of claims...

Job SummaryMetroPlusHealth is seeking a highly skilled Pharmacy Technician to join our team in the Medicare Operations department. As a Pharmacy Technician, you will play a critical role in ensuring the accuracy of pharmacy benefit configuration and processing prior authorization requests related to Medicare Lines of Businesses.Key ResponsibilitiesData entry...

Empowering New Yorkers through CareMetroPlusHealth is dedicated to empowering New Yorkers by uniting communities through care. We believe that healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, we invite you to join our team. You can come to work being proud of what you do every day.About MetroPlusHealthMetroPlusHealth...

Job SummaryMetroPlus Health Plan is seeking a highly skilled Pharmacy Technician to join our team in a key role that will play a critical part in ensuring the accuracy and integrity of our pharmacy benefit configuration. As a Pharmacy Technician - Operations, you will be responsible for auditing and validating internal and external reports to ensure proper...

About the RoleWe are seeking a highly skilled Senior Technical Claims Specialist-General Liability/Bodily Injury to join our team. As a key member of our claims team, you will be responsible for adjudicating complex general liability bodily injury claims for our customers.Key ResponsibilitiesAdjudicate highly complex claims with limited oversight, utilizing...

Job Title: Pharmacy Technician - Medicare OperationsMetroPlusHealth, a subsidiary of NYC Health + Hospitals, is seeking a skilled Pharmacy Technician to join our team. As a Pharmacy Technician - Medicare Operations, you will play a critical role in ensuring the accuracy of pharmacy benefit configuration and processing prior authorization requests related to...

Job Summary:The Claims Processor will be responsible for examining and resolving non-adjudicated claims to identify key elements of processing requirements based on contracts, policies, and procedures. This role will also involve processing product or system-specific claims to ensure timely payments are generated and calculating deductibles and maximums....

Medical Biller Job DescriptionWe are seeking an experienced Medical Biller to join our team at TemPositions. As a Medical Biller, you will play a critical role in ensuring the accuracy and timeliness of medical claims submissions.Responsibilities:Review and verify the accuracy of submitted claimsConduct thorough research and follow-up with insurance...

Medical Biller Job DescriptionWe are seeking an experienced Medical Biller to join our team at TemPositions. As a Medical Biller, you will play a critical role in ensuring the accuracy and timeliness of medical claims submissions.Responsibilities:Review and verify medical claims for accuracy and completenessConduct thorough research and follow-up with...