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Pharmacy Claims Reviewer jobs - Cherry Hill, NJ

Viewing 1 - 10 of 204 jobs

  • Pharmacy Reimbursement Specialist LPN Job

    Yoh - Philadelphia, PA

    insurance coverage investigations and review of the pharmacy bill invoice process. What You Need to Bring to the ... claims and in the re-billing of rejected third party claims - knowledgeable of current changes in coding and...

    21 hours ago from Jobg8

  • Mgr Production Support - Claims Processing / Facets

    AmeriHealth Caritas - Philadelphia, PA

    programs, 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...

    11 days ago from AmeriHealth Caritas

  • Provider Claims Service Representative (Medicare)

    AmeriHealth Caritas - Philadelphia, PA

    Reviews and adjudicates claims based on provider and health plan contractual agreements and claims processing guidelines ... to maintain timeliness in claims processing. Inputs claims into the system for appropriate tracking and processing.

    30+ days ago from AmeriHealth Caritas

  • 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...

    30+ days ago from AmeriHealth

  • Pharmacy Account Executive

    AmeriHealth Caritas - Philadelphia, PA

    Breakthrough Technology. PerformRx is a clinician-led pharmacy benefit manager that provides breakthrough, ... concerns, benefit issues/changes, and other related claims processing issues * Ensures timely delivery of client...

    11 days ago from AmeriHealth Caritas

  • Service Delivery Pharmacy Data Analyst

    AmeriHealth Caritas - Philadelphia, PA

    Breakthrough Technology. PerformRx is a clinician-led pharmacy benefit manager that provides breakthrough, ... data integrity of various pharmacy data sources including claims, PDE Acumen, and other vendor data is maintained...

    11 days ago from AmeriHealth Caritas

  • Pharmacy Reimbursement Specialist

    Inglis House - Philadelphia, PA

    * Provide accurate and reliable prescription claims billing * Resolve billing errors, adjudication issues and ... Managers), and Experienced in billing insurance claims and in the re-billing of rejected third party claims. EOE The...

    14 days ago from Inglis House

  • Claims Trainer (Work From Home Any Location)

    Aetna - Blue Bell, PA

    development of claims curriculum and develops and delivers claims training sessions to uniquely defined designated ... FUNCTIONAL EXPERIENCES Functional - Claims/Claim processing - Medical or Hospital - ACAS/4-6 Years Functional - Learning...

    30+ days ago from Aetna

  • Pharmacy Manager

    CVS Health - Williamstown, NJ

    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;...

    3 days ago from CVS Health

  • Summer Intern - Pharmacy Network Audit and Contract

    AmeriHealth Caritas - Philadelphia, PA

    stores located across the United States. The Pharmacy Network department is responsible for mail order pharmacy ... * Run test claims for the Pharmacy Network Department utilizing Argus Rx Focus II and/or IPNS as necessary...

    30+ days ago from AmeriHealth Caritas