Job Abstract
The Claims Specialist - 3rd Party:Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks. Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines. Ensures approval of claims by performing appropriate edits and/or reversals to...
Search Terms: Claims Specialist, Claims, Pharmacy, Pharmacy Technician, Specialist