Pharmacy Technician Claims Specialist, Evenings (1:00 PM - 9:00 PM) - West Henrietta, NY

We are seeking a Claims Specialist for an 8-week contract-to-hire opportunity in an Long-Term Care (LTC) Mail Order Pharmacy in West Henrietta, NY.

Schedule: Monday - Friday, 1:00 PM to 9:00 PM.

Responsibilities:

• Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing

• Research, analyze, and resolve rejected claims by working with national Medicare D plans, third-party insurance companies, and state Medicaid plans

• Ensure approval of claims by performing appropriate edits and/or reversals

• Monitor and resolve at-risk revenue associated with payer setup, billing, rebilling, and reversal processes

• Identify, document, communicate, and resolve payer/billing trends and issues as part of a team

• Review and work to convert billing

Requirements:

• Pharmacy Technician experience

• Customer Service experience

• Ability to retain a large amount of information and apply it to related situations

• Ability to work in a fast-paced environment

• Basic math aptitude

• Desired knowledge of the insurance industry s trends, directions, major issues, regulatory considerations, and trendsetters

• Pharmacy Technician License.

For more information on this position and other opportunities with RPh on the Go, please contact Taylor Akins. Send your updated resume to [email protected] or call 813-749-5230.