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Pharmacy Technician- Claims Specialist- Insurance-Full Time-Somerset, NJ

Pharmacy - Pharmacy Technician 9 days ago Somerset, NJ

RPh on the go is searching for a Pharmacy Technician with a strong background in Insurance and Billing. This is a full time 40-hour position Monday-Friday.

Setting: Long Term Care
Duration: 13+ weeks
Schedule: Mon-Fri 8:30 am-5:00 pm

Duties: As an Advanced Claims Review Specialist, the ideal candidate responsible for workflow - submitting retro rebilling claims to Medicare, Medicaid, and Private Insurances for reimbursement while performing other clerical duties as necessary.

  • Read a report to identify claims needing follow-up
  • Call an insurance plan requesting an override (script to be provided)
  • Work in FrameWorks pharmacy system
    • Look up a claim
    • Review fill history
    • Understand residence codes & general drug classes (drives request)
    • Submit claim for payment

Ideal Candidate:

  • NJ Pharmacy Tech License is required
  • Recent Pharmacy Technician experience is required

Needed for Submittal:

  • Resume
  • NJ License Verification

For more information email [email protected] or call (773)570-6948.Visit our website for more information and to learn about us at www.rphonthego.com


 

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