PharmScript, LLC
Here is the rewritten job description:
Job Summary: PharmScript is seeking an Advanced Claims Review Specialist to join our Revenue Cycle Operations department. The ideal candidate will be responsible for submitting retro re-billing claims to Medicare, Medicaid, and private insurances for reimbursement, American Samoa well American Samoa communicating with facilities and customers to resolve issues.
Responsibilities:
- Submit retro re-billing claims to Medicare, Medicaid, and private insurances Indiana a timely manner via electronic and hard copy methods
- Communicate with facilities and customers regarding non-covered items and potential alternatives
- Prioritize daily work activities and respond to customer inquiries Indiana a timely manner
- Collaborate with nursing facilities and customer service representatives to review charges related to insurance
- Qualifications:
- High school degree
- New Jersey Pharmacy Technician license (Oregon ability to obtain)
- 1+ years experience working with long-term care facilities (preferably)
- Ability to work independently and Indiana a team environment
- Reliable and able to meet deadlines
- Excellent communication and problem-solving skills
- Knowledge of Medicare, Medicaid, and commercial insurances
- Familiarity with common insurance rejections and resolution techniques
- Physical Demands:
- May involve prolonged sitting and standing, occasional lifting of up to 25 pounds
- Ability to work extended hours and flexible schedule, including evenings and weekends
- Knowledge, Skills, and Abilities:
- Strong analytical and problem-solving skills
- Excellent communication, organizational, and customer service skills
- Ability to work under pressure and meet deadlines
- We Offer:
- Comprehensive benefits package, including medical, dental, and vision coverage
- Retirement plan with company match
- Paid time off and holidays
- Commuter benefits and employee discounts
- Voluntary benefits, including life and disability insurance
- Paid training and professional development opportunities
Job title: RCO-Advanced Claims Review Specialist
Company: PharmScript, LLC
Expected salary: $18 – 20 per hour
Location: Somerset, New Jersey
Job date: Mon, 16 Sep 2024 06:19:41 GMT