Support Specialist

4 weeks ago

Dublin, United States Innova Solutions Full time
Innova Solutions is immediately hiring for a Pharmacy Technician

Position type: Full-Time, Contract
Duration: 3 Month
Location: Remote

As a Pharmacy Technician, you will:

We are looking for a PBM Audit Support Specialist to assist our customers with third party CMS and PBM audits. To be successful in this role, you should have previous pharm tech or third party PBM auditor experience. Be self-driven multi-tasker who is capable of working independently with minimal supervision.

Skills: Respond to customer queries in a timely and accurate way, via phone, email or fax professionally. Identify trends observed from claim reviews and provide recommendations for risk criteria. Data Entry and proficiency in MS Office (Excel (VLOOKUP), Word, Outlook) Accuracy and attention to detail Knowledge/understanding of HIPAA and privacy guidelines. Calculate the adjustments required to correct claim transactions. Track audit activity and summarize results of claim analysis and recoveries on a daily and/or monthly basis. Communicate with providers to gather information for audits, to educate on claim submission practices and to respond to queries in regard to audit results.
Education: High School Diploma Minimum two years prior experience in the healthcare field; retail pharmacy experience preferred. Graduate of an accredited pharmacy education program; CPhT or R Ph.T. designation is preferred
The ideal candidate will have: 2-4 years of Pharmacy Tech Experience along with CPhT or R Ph.T and PBM experience is a plus.

Thank you
Dishank Sharma
Sr Associate Recruitment

PAY RANGE AND BENEFITS:
Pay Range*: $18 - $19.25 per Hour
*Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).

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