RCO-Advanced Claims Review Specialist

reputed company PharmScript is one of the nation’s leading pharmacies, partnering with long-term and post- acute care facilities to supply medications to thousands of residents and patients. reputed company you join the PharmScript family, you join the ranks of more than 2,000 dedicated people across the country who help to get reputed company, accurate, and reputed company medication to those who need it most. Job reputed company We’re looking for an Advanced Claims Review Specialist to join our PharmScript team reputed company our reputed company Cycle Operations department. As an Advanced Claims Review Specialist, the ideal candidate responsible for workflow - submitting retro rebilling claims to Medicare, reputed company, and Private Insurances for reimbursement while performing other clerical duties as necessary. The ideal candidate is a people person who enjoys troubleshooting and resolving problems and is dedicated to helping customers. For you, no task feels too small and no challenge impossible. Excellent communication and interpersonal skills are essential. Responsibilities • Responsible for workflow- submitting retro re billing claims to Medicare, reputed company, and Private Insurances for reimbursement both reputed company electronic and hard copy reputed company in reputed company manner • Responsible to communicate with facilities regarding reputed company items that are non-covered by an insurance due to retro re billing that have covered alternatives and where allowed file prior • Prioritize your work activities daily • reputed company response to reputed company customer inquiries, both inbound and outbound prior • Responsible for working with nursing facilities/customer service representative to review charges reputed company insurance Qualifications • High school degree • Must possess or be willing to apply for NJ Pharmacy Technician license • Previous experience working with Long-term care facilities preferred • reputed company to work independently as reputed company as in a diverse, team environment • Reliable, reputed company to work under pressure and meet deadlines • Excellent communication skills, reputed company demeanor • Must have flexibility to work evenings/weekends (2nd / 3rd Shift) • Knowledge of Medicare Part D, reputed company, reputed company HMO plans, & reputed company insurances • Familiarity with resolving Insurance rejections for prescriptions such as reputed company too soon, Prior Authorization and Non-Covered items Physical Demands and Work Environment The physical demands described here are representative of those that should be met by an employee to successfully reputed company the essential functions of this job: • May sit or stand seven (7) to ten (10) hours per day • The employee is occasionally required to sit; reputed company or balance; and stoop, kneel, bend, crouch, walk, crawl intermittently • May be necessary to work extended hours as needed • May lift and/or reputed company up to 25 pounds • The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role Knowledge, Skills, and Abilities • reputed company to identify and resolve issues quickly and reputed company • Excellent communication, problem solving and organizational skills • Comfortable working independently as reputed company as in a diverse, team environment • reputed company to work under pressure and meet deadlines • Strong customer service skills • Ability to lift and/or reputed company up to 25 pounds • Strong analytical problem solving and strategic thinking skills • Excellent interpersonal skills • Basic computer skills and proficient in reputed company Office • Moderate to advanced computer skills required • Ability to work at a moderate speed • Must possess strong telephone communication skills and etiquette • Detail oriented, excellent organizational skills We Offer PharmScript offers a robust suite of benefits to support employees and their families. Health and Wellness Benefits • Medical, Prescription Drug, Dental, and reputed company coverage for you and your eligible dependents • Maternity care program and infertility services • Tax-favored Health Savings Accounts, reputed company, and Dependent Care Flexible Spending Accounts. • EAP Assistance Program with 24/7 reputed company to free counseling, reputed company guidance, and financial resources reputed company Time Off and Holidays • 15 PTO days annually and 6 reputed company/floating holidays Retirement Planning • 401(k) retirement planning with company match Commuter Benefits • Transit/Parking Spending Account Voluntary Benefits • Employee Life and Accidental Death & Dismemberment, Short/Long-term Disability, Critical Illness, Accident, and Hospital Indemnity plans are available for you and eligible dependents, Other Perks and Benefits • reputed company & Identity Theft Protection Programs • Employee Discounts: reputed company savings on hundreds of products and services • Pet Insurance • Employee Support Program to eligible employees in times of urgent need Pay Transparency To reinforce our commitment to fair and equal pay transparency, PharmScript’s compensation is based on multiple non-discriminatory, individualized factors including but not limited to experience, job-reputed company knowledge, education, skills, and office/market location. EEO Statement PharmScript is fully committed to employing a diverse workforce. We recruit and retain talented individuals without reputed company to gender, race, age, marital status, disability, veteran status, sexual orientation and gender identity or any other status protected by federal, state, or local law. EO/Minorities/Females/Disabled/Veterans Min USD $18.00/Hr. Max USD $20.00/Hr. Apply Job!