Billing Specialist
3 weeks ago
Date Posted: 04/23/2024
Hiring Organization: Rose International
Position Number: 462763
Job Title: Billing Specialist - Pharmacy Insurance Specialist
Job Location: Woonsocket, RI, USA, 02895
Work Model: Onsite
Shift: M-F 8:30-5 - Onsite Tuesday-Thursday
Employment Type: Temp to Hire
Estimated Duration (In months): 10
Min Hourly Rate ($): 21.00
Max Hourly Rate ($): 25.00
Must Have Skills/Attributes: Billing, Help Desk, Microsoft Access, Microsoft Excel, Microsoft Word, Pharmacy, SQL
Job Description
**Only those lawfully authorized to work in the designated country associated with the position will be considered. **
**Please note that all Position start dates, and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements. **
Position Summary
• As a Pharmacy Insurance Specialist, you will be responsible for ensuring that all required third-party insurance settings are coded and maintained appropriately within the pharmacy adjudication system.
• The Pharmacy Insurance Specialist will perform extensive testing and documentation to ensure accurate prescription claims processing while remaining in compliance with pharmacy standards and payer requirements.
• As a part of the Network Operations team, this role allows you to analyze third-party programs, and investigate and resolve systemic issues relative to prescription claims processing that interface with stores, providers, patients, pricing, and financial impacts to the company.
Required Qualifications:
• 1+ year related experience in a pharmacy, PBM, or insurance position
• 1+ years of experience using Microsoft Word and Excel
Preferred Qualifications:
• Pharmacy Technician Experience within the past 5 years
• Previous experience with business-to-business, interdepartmental, or customer interactions
• Retail Pharmacy help desk experience
• Experience with SQL or Access
Education
• Verifiable High School diploma or GED is required.
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
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