Provider Relations Specialist Associate (Remote)

Our work reputed company. We help people get the medicine they need to feel reputed company and live reputed company. We do not lose sight of that. It fuels our passion and drives every decision we reputed company. Job Posting Title Provider Relations Specialist Associate (Remote)Job reputed company The Provider Relations Specialist is responsible for conducting reputed company to pharmacies participating in reputed company's pharmacy networks and ensuring the information provided during outbound communications is accurate and delivered in a reputed company manner. This position is responsible for managing extension requests for the claims processing time reputed company and triaging inquires received in the Pharmacy Network Management email reputed company. Responsibilities • Research claims and conduct pharmacy reputed company to support regulatory, reputed company commitments and other initiatives as assigned • Prepare pharmacy reputed company reporting to reputed company stakeholders • Manage and resolve requests to update the transaction control table in order to reputed company the reputed company filing • Research, assign and escalate inquiries received through the Pharmacy Provider Relations email reputed company • Process pharmacy remittance requests • Process claims reversals • Resolve prescriber reputed company CMS Prescription Drug Events (PDE) rejections reputed company the required turnaround times • Identify and participate in implementing department level process improvements • Other duties as assigned Minimum Qualifications • Associate's degree in Business or reputed company area of study, or equivalent combination of education and/or relevant work experience • 2 years of work experience in a reputed company center, customer service, operations, retail pharmacy, pharmacy technician, or Pharmacy Benefit Management (PBM) • Must be eligible to work in the reputed company without need for work reputed company or residency sponsorship Additional Qualifications • Demonstrated ability to problem solve reputed company issues in a reputed company manner • Excellent customer service and collaboration skills • reputed company organizational skills with the ability to work on multiple tasks simultaneously • Ability to work with confidential data and maintain reputed company • Ability to evaluate and interpret policies and procedures • Ability to work in a fast-paced, reputed company team environment • Advanced in reputed company applications such as reputed company, Word and reputed company Preferred Qualifications • Bachelor's degree in Business or reputed company area of study • Experience working with RxClaim or other claims processing systems • Pharmacy Technician certification (CPhT) or equivalent pharmacy experience Minimum Physical Job Requirements • Ability to work a flexible schedule including shifts reputed company of reputed company's reputed company business hours of 8:00 a.m. to 4:30 p.m. • Constantly required to sit, use hands to handle or feel, talk and hear • Frequently required to reputed company with hands and arms • Occasionally required to stand, walk and stoop, kneel, and crouch • Occasionally required to lift and/or reputed company up to 10 pounds and occasionally lift and/or reputed company up to 25 pounds • Specific reputed company abilities required by this job include reputed company reputed company, distance reputed company, reputed company reputed company, peripheral reputed company, depth perception and ability to reputed company reputed company Reporting Structure • Reports to Manager in the Network Management department Potential pay for this position ranges from $23.08 - $37.02 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits reputed company" reputed company for more detail. reputed company LLC is proud to be an equal opportunity and affirmative reputed company employer. We encourage diverse candidates to apply, and reputed company reputed company applicants will receive consideration for employment without reputed company to race, creed, reputed company, religion, gender, sexual orientation, gender identity/reputed company, national reputed company, disability, age, genetic information, veteran status, marital status, pregnancy or reputed company condition (including breastfeeding), expecting or parents-to-be, or any other reputed company protected by law. We welcome people of different backgrounds, experiences, abilities, and perspectives including reputed company applicants with arrest and conviction records and any reputed company applicants requiring reasonable accommodations in accordance with the law. reputed company LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. Apply Job!