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LTC Pharmacy Claims Specialist: Adjudication & Overrides

CommuniCare Health

CommuniCare Health is hiring a Pharmacy Claims Specialist in Maryland. The role focuses on adjudicating unit dose and non-unit dose claims, contacting insurers for overrides, and onboarding new admits with proper payment methods. Responsibilities include processing new admit reports, maintaining Welcome Packets, and ensuring timely ECM billing documentation. The position requires coordinating with facilities, families, and billing teams to keep batches, notes, and medication lists up to date. #J-18808-Ljbffr CommuniCare Health

Vacancy posted 2 days ago
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