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Pharmacy Claims Representative
Pharmacy Claims RepresentativeHireTalent - Staffing & Recruiting Firm • Jacksonville, FL, US
Pharmacy Claims Representative

Pharmacy Claims Representative

HireTalent - Staffing & Recruiting Firm • Jacksonville, FL, US
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  • [job_card.full_time]
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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.
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