CLAIMS SPECIALIST - TAUNTON

Company: brightspring
Location: Taunton
Posted on: July 30, 2022

Job Description:

b"Join our PharMerica team!/xc2/xa0 PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients./xc2/xa0 We offer a/xc2/xa0non-retail pharmacy environment./xc2/xa0 Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!/xc2/xa0/n/xc2/xa0/n8:30am to 5pm, M-F./xc2/xa0 No Weekends!/n/xc2/xa0/nWe offer:/n/xc2/xa0/n$500 Sign On Bonus!/n/xc2/xa0/nDailyPay/nFlexible schedules/nCompetitive pay/nShift differential/nHealth, dental, vision and life insurance benefits/nCompany paid STD and LTD/nTuition Assistance/nEmployee Discount Program/n401k/nPaid-time off/nTuition reimbursement/nNon-retail/Closed-door environment/n/xc2/xa0/nOur Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!/nRESPONSIBILITIES/nThe Claims Specialist - 3rd Party:/n * Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks/n * 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/n * Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement/n * Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes/n * Works as a team to identify, document, communicate and resolve payer/billing trends and issues/n * Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans/n * Prepares and maintains reports and records for processing/n * Performs other tasks as assigned/nQUALIFICATIONS/nEducation/Learning Experience:/n * Required: High School Diploma or GED/n * Desired: Associate/xe2/x80/x99s or Bachelor/xe2/x80/x99s Degree/nWork Experience:/n * Required: Customer Service/n * Desired: Up to one year of related experience. Pharmacy Technician experience/nSkills/Knowledge:/n * Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite/n * Desired: Knowledge of the insurance industry/xe2/x80/x99s trends, directions, major issues, regulatory considerations and trendsetters/nLicenses/Certifications:/n * Desired: Pharmacy technician, but not required/nABOUT OUR LINE OF BUSINESS/nPharMerica is a full-service pharmacy solution providing value beyond medication./xc2/xa0 PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute care organizations./xc2/xa0 PharMerica is/xc2/xa0one of the nation's/xc2/xa0largest pharmacy companies./xc2/xa0 PharMerica offers unmatched employee development, exceptional company culture, seemingly endless opportunities for advancement and the highest hiring goals in decades./xc2/xa0 For more information about PharMerica, please visit/xc2/xa0[Follow us on/xc2/xa0Facebook [[and LinkedIn [JOB INFORMATION/nThis is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing./n/xc2/xa0/nPharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference."

Keywords: brightspring, Taunton , CLAIMS SPECIALIST - TAUNTON, Other , Taunton, Massachusetts