Talent.com
Pharmacy Claims Representative
Pharmacy Claims RepresentativeHireTalent - Staffing & Recruiting Firm • Miami, FL, US
[error_messages.no_longer_accepting]
Pharmacy Claims Representative

Pharmacy Claims Representative

HireTalent - Staffing & Recruiting Firm • Miami, FL, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Must Have :

  • Must be licensed as a pharmacy technician in their state of residence
  • Must be eligible to work with Medicare / Medicaid
  • Must Have National Certification Pharmacy Tech and State License both

Job Description :

  • The Pharmacy Claims Representative 2 analyzes and answers inquiries regarding pharmacy claims adjudication, including method of payment, co-pay or deductible amounts, and / or reason for denial. Decisions are typically focus on interpretation of area / department policy and methods for completing assignments.
  • Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization / timing, and works under minimal direction.
  • Follows standard policies / practices that allow for some opportunity for interpretation / deviation and / or independent discretion.
  • [job_alerts.create_a_job]

    Pharmacy Representative • Miami, FL, US

    [internal_linking.similar_jobs]
    Patient Access Representative 2 (On-Site) - Full Time - Bascom Palmer Eye Institute Miami, FL

    Patient Access Representative 2 (On-Site) - Full Time - Bascom Palmer Eye Institute Miami, FL

    Florida Staffing • Miami, FL, US
    [job_card.full_time]
    Patient Access Representative 2 (On-Site).The University of Miami, Bascom Palmer Eye Institute, has an exciting full time opportunity for a Patient Access Representative 2 (On-Site) in the Departme...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Patient Access Representative 2 (On-Site) - Full Time - Bascom Palmer Eye Institute Miami, FL

    Patient Access Representative 2 (On-Site) - Full Time - Bascom Palmer Eye Institute Miami, FL

    University of Miami • Miami, FL, US
    [job_card.full_time]
    Patient Access Representative 2 (On-Site).The University of Miami, Bascom Palmer Eye Institute, has an exciting full time opportunity for a Patient Access Representative 2 (On-Site) in the Departme...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Device Sales Territory Account Manager

    Medical Device Sales Territory Account Manager

    Tactile Medical • Miami, FL, United States
    [job_card.full_time]
    The Territory Account Manager is responsible for educating therapists, physicians and patients on Tactile Medical Products in an assigned territory. Responsible for establishing sales strategies to ...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Patient Account Representative II - FT

    Patient Account Representative II - FT

    Larkin Community Hospital • Miami, FL, US
    [job_card.full_time]
    Under the direction of the Business Office Director, the Patient Account Rep II will act as a trusted advisor and educator on healthcare related inquiries, including but not limited to billing, pay...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Patient Experience Representative

    Patient Experience Representative

    Banyan Health Systems • Cutler Bay, FL, US
    [job_card.full_time]
    Banyan Health Systems has been serving Miami-Dade and Broward Counties since 1970.We provide quality, individualized care to each of our patients. Our system of integrated health services brings tog...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Account Service Representative -Field Sales

    Account Service Representative -Field Sales

    New Health Partners • Doral, FL, US
    [job_card.full_time]
    The Account Service Representative is responsible for delivering exceptional service to brokers, agencies, and employer groups. This role supports the full lifecycle of group accounts—renewals, enro...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Sr. Patient Accounts Representative (H)

    Sr. Patient Accounts Representative (H)

    The University of Miami • Miami, FL, United States
    [job_card.full_time]
    If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a facu...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Patient Access Representative

    Patient Access Representative

    University of Miami • Miami, FL, US
    [job_card.full_time]
    If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a facu...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Pharmacy Manager, JN Retail Pharmacy, FT, Days

    Pharmacy Manager, JN Retail Pharmacy, FT, Days

    Public Health Trust of Dade Co • Miami, FL, United States
    [job_card.full_time]
    Facility : Jackson North Medical Center - JN Retail Pharmacy.Address : 160 NW 170th ST, North Miami Beach, FL 33169.Hours for shift : M-F, 9am to 5pm. The Pharmacy Manager Retail plans, coordinates, an...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Pharmacy Representative

    Pharmacy Representative

    Molina Healthcare • Miami, FL, United States
    [job_card.full_time]
    JOB DESCRIPTION Job SummaryProvides customer service support for inbound / outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimizatio...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Pharmacy Manager

    Pharmacy Manager

    CVS Health • Coral Gables, FL, United States
    [job_card.full_time]
    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading h...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Representative, Dental Provider Services

    Senior Representative, Dental Provider Services

    Molina Healthcare • Miami, FL, United States
    [job_card.full_time]
    Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Pharmacy Relationship Manager

    Pharmacy Relationship Manager

    America's Pharmacy Group, LLC • Miami, FL, United States
    [job_card.full_time]
    Whether you are working in a Pharmacy looking for additional income, a seasoned healthcare sales expert, or aspiring to break into the Medical Sales industry, Healthcare Marketing Group, LLC provid...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Pharmacist Positions in Miami and Florida Keys

    Pharmacist Positions in Miami and Florida Keys

    CVS Health • Miami, FL, US
    [job_card.full_time]
    At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading h...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Claims Examiner

    Claims Examiner

    Independent Living Systems • Miami, FL, US
    [job_card.full_time]
    We are seeking a Claims Examiner to join our team at Independent Living Systems (ILS).ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is commi...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Pharmacist - $2,146 per week in Florida

    Travel Pharmacist - $2,146 per week in Florida

    AlliedTravelCareers • Miami, Florida, US
    [job_card.full_time]
    AlliedTravelCareers is working with Mindlance Health to find a qualified Pharmacist in Florida!.ID : 74188433 Shift : 12 : 00-22 : 30 Description : - TRAVEL - PHARMACIST - COST CENTER (712) / 12 : 00PM-10 : ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    MRSGM NA Claims Resolution Specialist, Cyber

    MRSGM NA Claims Resolution Specialist, Cyber

    Munich RE • Miami, FL, United States
    [job_card.full_time]
    Schaumburg, United States; Houston, United States; Long Beach, United States; Miami Gardens, United States; Miami, United States. Mt.Pleasant, United States; New York, United States;.Munich Re Spec...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Clinical Business Operations Representative 3 (H)

    Clinical Business Operations Representative 3 (H)

    The University of Miami • Doral, FL, United States
    [job_card.full_time]
    If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a facu...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]