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Pharmacy Technician - Reject Specialist

Company: Remedi SeniorCare
Location: Euclid
Posted on: May 3, 2021

Job Description:

The Reject Specialist is responsible for accurate and timely reject resolution.


  • Monitor and resolve rejected claims appearing on pharmacy system Dashboard for assigned pharmacy.
  • Become familiar with each pharmacy’s policies and procedures regarding claims management.
  • Knowledge of third party policies and NCPDP standard for claim submission.
  • Communicates with other departments on claim related matters.
  • Complies and enforces all company and departmental policies and procedures.
  • Complies with all applicable state and federal regulations related to pharmacy and claim billing practices.
  • Responsible with achieving department goals in volume, production, quality, customer service.
  • Direct claims to other departments for resolution as deemed necessary
  • Identify trending by recognizing problem areas for pharmacies that may reduce rejections when corrected.

  • High school diploma or GED equivalent.  Proficient in Excel, Word and Outlook required, general knowledge and understanding of third party claim submission
  • Minimum of two years medical billing or third party claim submission desired.  Previous LTC pharmacy billing preferred.
  • Must be able to communicate effectively both verbally and in writing. Individual must have a strong internal and external customer service focus, and work as a team player.

Our Pharmacy delivers life-saving medications to thousands of residents every day. Our team members enjoy state-of-the-art facility equipped with customer-inspired innovative technologies.

 

Remedi offers great benefits and perks!

  • Medical, Vision and Dental Insurance
  • Flexible Spending and Health Saving Accounts
  • Life insurance/Long-and Short-term disability.
  • 401K plan and company contribution

Remedi SeniorCare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process can contact Human Resources at the location(s) where you are applying. Remedi SeniorCare participates in the E-Verify program as required by law: learn more  E-Verify

Keywords: Remedi SeniorCare, Euclid , Pharmacy Technician - Reject Specialist, Other , Euclid, Ohio

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