Pharmacy Claims & Adjudication Specialist
Pharmacy Solutions Group (PSG)
Pharmacy Solutions Group (PSG) is seeking a Pharmacy Claims Specialist in Glen Burnie, MD to adjudicate daily unit dose and non-unit dose claims and handle insurance overrides. You will manage new admits, coordinate with families on payment methods when needed and audit weekly admit reports for accuracy. Responsibilities include handling authorizations for non-covered meds, maintaining timely billing, and assisting with rebilling and batch processing. #J-18808-Ljbffr Pharmacy Solutions Group (PSG)
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Pharmacy Claims & Adjudication Specialist in Glen Burnie, MD vacancy
- 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...Suggested
- CommuniCare Family of Companies is seeking a Pharmacy Claims Specialist to manage adjudication of daily unit dose and non-unit dose claims, coordinate with insurers, and support new admits with accurate payment details. You will maintain timely communications with families...Suggested
- ## Pharmacy Claims SpecialistApplylocations: Pharmacy Solutions Group - Marylandtime type: Full timeposted on:... ...DrSuites K-MGlen Burnie, MD 21061**Pharmacy Claims Specialist** **Responsibilities:**Responsible for adjudication of daily unit dose and non-unit dose claims*...SuggestedDaily paidTemporary work
- ...Accounts Receivable Claims Specialist The Accounts Receivable Claims Specialist is responsible for working with payors to resolve payment... ...claims denials with required information to have claims adjudicated properly. Stay current on correct appeal processes for payors...SuggestedWork experience placement
- ...The Lead Accounts Receivable Claims Specialist is responsible for overseeing the daily operations of the Accounts Receivable Claims team... ...appeals with supporting documentation to ensure proper claim adjudication. Stay current on appeal processes and requirements for...SuggestedFull timeWork experience placement
University of Maryland Emergency Medicine
Annapolis, MD2 days ago $69.92k - $133.62k
...needs. The Opportunity As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to... ...investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and...Hourly payFull timeH1bLocal areaRemote workRelocationAfternoon shiftUSAA
Baltimore, MD4 days ago$69.92k - $133.62k
...business needs.The OpportunityAs a dedicated Property Adjuster Specialist, you will work within established guidelines and framework to investigate... ..., evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and...Hourly payH1bLocal areaRemote workRelocationAfternoon shiftUSAA
Baltimore, MD3 days ago- ...Property Liability Adjuster will manage all aspects of liability claims in the Washington DC/Baltimore market. The field‑based... ...adjuster license required. Fundamental understanding of claims adjudication and basic knowledge of commercial/residential construction, automotive...Contract workFor contractors
- ...Claims Processor, Claims IAmpcus Inc. is a certified global provider of a broad range of Technology and Business consulting services... ..., MD. (Remote)Purpose: Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication...Remote work
Ampcus
Baltimore, MD1 day ago - ...Claims And Program Representative As a Claims and Program Representative, you will: # Handle calls through the Nationwide Toll... ...evidence and evaluates its validity and acceptability. # Adjudicate claims for benefits and make entitlement decisions. # Compute...Work at officeLocal area
US Government Jobs - Other Agencies
Baltimore, MD3 days ago $100k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term Care PRIMARY PURPOSE OF THE ROLE: To analyze complex or technically...Local areaFlexible hours$74.3k - $82.55k
Thank you for considering opportunities with us! Job Title Sr. Claims Specialist, Commercial Casualty - Remote Requisition Number R7910 Sr. Claims Specialist, Commercial Casualty - Remote (Open) Location Colorado - Home Teleworkers Additional Locations Alabama - Home Teleworkers...Remote jobHourly payH1bWork from homeFlexible hours$60.23k - $84.33k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation | Jurisdiction: FL | Licensing... ...clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices...Remote workFlexible hours- Our client is seeking a Senior Commercial General Liability Claims Specialist to handle moderate-to-complex GCL claims across the East Coast. Responsibilities include coverage analysis, investigation, evaluation, negotiation and settlement of assigned claims. Key duties...Remote job
$20 per hour
Healthcare Support Staffing is seeking an experienced Claims Examiner in Annapolis, Maryland. In this role, you will review provider disputes and appeals related to claims resolution, adhering to both state and federal policies. The ideal candidate will have at least 1...Permanent employmentTemporary workMonday to FridayShift work$80k
Sedgwick seeks an experienced claims management professional in Annapolis, Maryland, to analyze and process complex auto and commercial transportation claims. Candidates should have five years in claims management, strong communication skills, and the ability to coordinate...- Job Description Are you an experienced Claims Examiner looking for a new opportunity with a prestigious healthcare company? Do you... ...procedures. Adheres to state and federal policies and procedures when adjudicating claims, including but not limited to, interest calculation and...Permanent employmentTemporary workShift work
- Mobilitas, a remote-first commercial insurance company created by CSAA Insurance Group, is seeking a Claims Specialist, Commercial Casualty to resolve all 1st and 3rd party injury claims across multiple regions with minimal supervision in a remote setting across the United...Remote job
$51.81k - $83.55k
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within... ...full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account...Minimum wageFull timeLocal areaFlexible hours$51.81k - $83.55k
A leading risk management firm is seeking a Claims Specialist to manage lower-level workers’ compensation claims under supervision. The role requires excellent communication skills and the ability to analyze and solve problems. Candidates should have a bachelor's degree...- Sedgwick, a global leader in risk and claims solutions, seeks a Liability Claims Examiner to analyze General Liability and Auto Liability... ...Bodily Injury claims for major clients. This role emphasizes adjudication within client service requirements and collaboration with a...Remote job
$51.8k - $75k
...ONE80 INTERMEDIARIES INC is seeking a Claims Accountant in Maryland responsible for managing and analyzing financial transactions related to insurance claims. The role ensures accuracy in claims payments and reporting while complying with regulatory requirements. The...ONE80 INTERMEDIARIES INC
Annapolis, MD4 days ago- ...The Lead Charges and Claims Specialist serves as the subject matter expert and team lead for the Charges and Claims function. This position is responsible for overseeing daily charge and claim activities, ensuring the timely and accurate submission of claims, resolving...Full timeWork experience placementWork at office
University of Maryland Emergency Medicine
Annapolis, MD2 days ago - ...A leading claims adjustment firm in Glen Burnie, Maryland, is looking for Independent Insurance Claims Adjusters to join their team. The firm provides essential training and support for both seasoned professionals and newcomers. As a Licensed Claims Adjuster, you'll play...
MileHigh Adjusters Houston
Glen Burnie, MD4 days ago $18 - $22 per hour
Job Description Are you an experienced Medical Claims Adjuster in the Annapolis, MD area seeking a great career opportunity? Have you... ...Responsibilities: Responsible for the accurate and timely adjudication of all claims in accordance with applicable contracts, state and...Hourly pay- Sedgwick in Annapolis, MD is hiring a Loss-Time Workers Compensation Claims Examiner. You will analyze Lost-Time workers compensation claims for our public entity clients, determine benefits due, and adjudicate claims within service expectations and client requirements. This...Remote jobFlexible hours
- Sedgwick, a global leader in claims management, is seeking a Claims Examiner - Workers' Compensation. You will analyze claims for clients, determine benefits, and adjudicate within service standards and client requirements. Responsibilities include investigating information...Remote job
- The Hartford in Maryland is seeking a dedicated Workers' Compensation Claim Representative for a 100% remote, full-time role. You will plan, investigate and manage workers’ compensation claims, ensuring timely investigations, accurate benefit calculations and adherence...Remote jobFull time
- Sedgwick is looking for a Claims Examiner Workers Compensation I to analyze claims and ensure ongoing adjudication within service expectations. You will have the chance to negotiate settlements and provide customer-facing solutions in a rapidly growing global company....Flexible hours
- ...Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional and Licensing Required | Public... ...best brands? Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture....Remote workFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Pharmacy Claims & Adjudication Specialist. Be the first to apply!
Related searches
- remote medical claims processor Glen Burnie, MD
- claims processing Glen Burnie, MD
- veterans claims Glen Burnie, MD
- family pharmacy Glen Burnie, MD
- pharmacy cashier Glen Burnie, MD
- pharmacy delivery driver Glen Burnie, MD
- pharmacy benefits Glen Burnie, MD
- registered nurse pharmacy Glen Burnie, MD
- pharmacy inventory Glen Burnie, MD
- pharmacy driver Glen Burnie, MD