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Pharmacy Claims Reviewer jobs - Cherry Hill, NJ

Viewing 1 - 10 of 68 jobs

  • Risk Adjust Review Specialist Nurse (LPN or RN with Coding/Abstractions)

    AmeriHealth - Philadelphia, PA

    management and administrative services, plus pharmacy benefit management and behavioral health care services. Our corporate parents are Independence Blue Cross (IBC) and Blue Cross Blue Shield of Michigan (BCBSM), two of the nation's...

    12 days ago from AmeriHealth

  • Risk Adjust Review Specialist Nurse (LPN or RN with Coding/Abstractions)

    AmeriHealth Caritas - Philadelphia, PA

    management and administrative services, plus pharmacy benefit management and behavioral health care services. Our corporate parents are Independence Blue Cross (IBC) and Blue Cross Blue Shield of Michigan (BCBSM), two of the nation's...

    14 days ago from AmeriHealth Caritas

  • Night Pharmacist FT

    CVS Caremark - Philadelphia, PA

    ESSENTIAL FUNCTION Customer Service • Service and satisfy the customer/s as health care needs in and out of Pharmacy are ... of Pharmacy Technicians, Interns and Pharmacists • Maintain the Pharmacy Department; fill Pharmacy supplies; vacuum;...

    10 days ago from CVS Caremark

  • Pharmacy Technician

    Health Partners Plans - Philadelphia, PA

    High school diploma and 1-2 years experience in pharmacy. Pharmacy Technician certification required. ... • Conduct clinical DUR on pharmacy claims and reports information to Supervisor and/ or Pharmacy Manager...

    30+ days ago from Health Partners Plans Inc.

  • Pharmacy Network Analyst

    Becker Technical Staffing - Philadelphia, PA

    within Pharmacy Network Operations. Audits high dollar claims for appropriate billing. Identifies potential billing ... Run test claims for the Pharmacy Network Operations utilizing Argus Rx Focus II and/or IPNS as necessary.

    13 days ago from Becker Technical Staffing, Inc.

  • Paper Claims Specialist Assoc

    Prime Therapeutics - Philadelphia, PA

    Therapeutics manual claims processing product. Exception claims include Foreign claims, COB claims, and claim ... letter for sendback claims and documenting the reason for claims sendback in the necessary systems * Assist with...

    30+ days ago from youremployment.com

  • Pharmacy Network Analyst

    Pozent - Philadelphia, PA

    and delays in operational productivity improvements within Pharmacy Network Operations. bull Audits high dollar claims ... Excel, Access, and PNMS and validate results. bull Run test claims for the Pharmacy Network Operations utilizing Argus...

    11 days ago from Philadelphia Jobs

  • Pharmacy Call Center in Philadelphia Needs Call Center Tech for 4 mths + (14-06262)

    Diversant - Philadelphia, PA

    weekends. Under the direct supervision of the Supervisor, Pharmacy Services Call Center, the Pharmacy Call Center ... network pharmacist in processing prescription claims. Reviews claims for accuracy and adherence to contract...

    30+ days ago from DIVERSANT LLC

  • Mgr Production Support - Claims Processing / Facets

    AmeriHealth - Philadelphia, PA

    management and administrative services, plus pharmacy benefit management and behavioral health care services. Our corporate parents are Independence Blue Cross (IBC) and Blue Cross Blue Shield of Michigan (BCBSM), two of the nation's...

    23 days ago from AmeriHealth

  • Mgr Production Support - Claims Processing / Facets

    AmeriHealth Caritas - Philadelphia, PA

    Mgr Production Support - Claims Processing / Facets Location: Philadelphia, PA ID**: 6374 Description The AmeriHealth Ca ... management and administrative services, plus pharmacy benefit management and behavioral health care services.

    30+ days ago from AmeriHealth Caritas

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