BrightSpring Health Services

3RD PARTY CLAIMS SPECIALIST I

Job Locations US-MA-TAUNTON
ID
2021-27533
Position Type
Full-Time
Line of Business
PharMerica

Our Company

PharMerica Logo_1250x667

Overview

Our 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!

 

Must be available to work M-F 9am – 5:30pm.

Responsibilities


  • 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 ensure maximum payer reimbursement

  • Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes

  • Works as a team to identify, document, communicate and resolve payer/billing trends and issues

  • Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans

  • Prepares and maintains reports and records for processing

  • Performs other tasks as assigned

Qualifications

Education/Learning Experience:



  • Required: High School Diploma or GED

  • Desired: Associate’s or Bachelor’s Degree


Work Experience:



  • Required: Customer Service

  • Desired: Up to one year of related experience. Pharmacy Technician experience


Skills/Knowledge:



  • 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

  • Desired: Knowledge of the insurance industry’s trends, directions, major issues, regulatory considerations and trendsetters


Licenses/Certifications:



  • Desired: Pharmacy technician, but not required

About our Line of Business

PharMerica is a full-service pharmacy solution providing value beyond medication.  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.  PharMerica is one of the nation's largest pharmacy companies.  PharMerica offers unmatched employee development, exceptional company culture, seemingly endless opportunities for advancement and the highest hiring goals in decades.  For more information about PharMerica, please visit www.pharmerica.com.  Follow us on FacebookTwitter, and LinkedIn.

Additional Job Information

Must be available to work M-F 9am – 5:30pm.

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