Pharmacy Appeals Coordinator
Virtual Vocations Inc
Working remotely, the full-time Specialty Appeals Pharmacy Care Coordinator will investigate, track, and submit appeals for specialty patients while communicating with providers and patients to obtain necessary documentation and facilitate the appeal process. Key responsibilities: Communicate with providers, patients, and pharmacy staff to gather required clinical documentation and appeal letters Document case activity and correspondence in the computer system to ensure completeness and accuracy of appeal letters Facilitate the appeal process by coordinating between patients, physicians, and insurance companies to obtain necessary denial information Required qualifications: High School Diploma/GED 1+ years of experience in the customer service or healthcare industry Intermediate level of proficiency with MS Office (Word, Excel, Outlook) Ability to work independently Monday - Friday, any 8-hour shift between 7am - 7pm CST
$46.99k - $122.4k
...community at a time. Exciting role open with our Meritain Pharmacy Solutions team! Do you like to engage with patients, helping... ...patient medication inquiries? We are looking for a member appeal coordinator . The candidate must be a highly trained, certified pharmacy...SuggestedHourly payFull timeTemporary workLocal area- ...: Create patient specific appeal letters by incorporating the reason of medical... ...why the denial should be overturned. Coordinate prescriber review and signature of... ...appeals, draft letters, as well as follow pharmacy workflow steps to provide a streamlined...SuggestedWork at office
$34.42 - $67.6 per hour
...Join to apply for the Appeals and Letters Coordinator Remote role at Optum 1 day ago Be among the first 25 applicants Join to apply for the... ...health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best...SuggestedHourly payMinimum wageFull timeContract workPart timeWork experience placementWork at officeLocal areaRemote workShift workWeekend work$46.99k - $122.4k
Hispanic Alliance for Career Enhancement is seeking a Member Appeal Coordinator to assist patients in navigating medication costs and... ...Candidates should have at least 2 years of experience as a Certified Pharmacy Technician and possess a member-centric mentality. The role...Suggested$46.99k - $122.4k
Hispanic Alliance for Career Enhancement in Denver is seeking a Member Appeal Coordinator with at least 2 years of Certified Pharmacy Technician experience. The role involves engaging with patients and providers to help navigate medication costs, ensuring members receive...Suggested- The Hispanic Alliance for Career Enhancement is looking for a Member Appeal Coordinator to join their Meritain Pharmacy Solutions team in Annapolis, Maryland. This full-time position requires a highly trained Certified Pharmacy Technician with at least two years of experience...Full time
- The Hispanic Alliance for Career Enhancement is seeking a Member Appeal Coordinator to engage with patients and help navigate the healthcare system efficiently. This role requires a certified pharmacy technician with experience in retail pharmacy, dedicated to ensuring...Full time
$46.99k - $122.4k
CVS Health in Raleigh, North Carolina, is seeking a Member Appeal Coordinator to assist patients in navigating medication costs. The role requires a Certified Pharmacy Technician with at least two years of pharmacy experience, emphasizing a member-centric approach. Candidates...Full time$46.99k - $122.4k
Hispanic Alliance for Career Enhancement is seeking a member appeal coordinator in Salt Lake City, Utah. The role requires a certified pharmacy technician with 2+ years of experience, focusing on engaging patients, navigating medication costs, and coordinating appeals....Full time$46.99k - $122.4k
CVS Health in Albany, NY is looking for a Member Appeal Coordinator to engage with patients about their medication inquiries and assist them... ...have a minimum of 2 years of experience as a Certified Pharmacy Technician and be comfortable speaking with both patients and...Full time- Hispanic Alliance for Career Enhancement is seeking a dedicated member appeal coordinator to join our Meritain Pharmacy Solutions team. This role involves engaging with patients to help them navigate their healthcare needs, ensuring they receive medications at the lowest...
$46.99k - $122.4k
...Alliance for Career Enhancement in Richmond, VA is seeking a Member Appeal Coordinator to assist patients in accessing affordable medications. The ideal candidate will have 2+ years Certified Pharmacy Technician experience and a member-centric mentality. This full-time...Full time$46.99k - $122.4k
CVS Health is looking for a full-time Member Appeal Coordinator in Des Moines, Iowa. This role requires a certified pharmacy technician with over 2 years of retail pharmacy experience. You will help patients navigate the healthcare system and access medications at the lowest...Full time$46.99k - $122.4k
CVS Health® is seeking a Member Appeal Coordinator in Austin, Texas. The ideal candidate is a certified pharmacy technician with at least 2 years of retail pharmacy experience. Responsibilities include helping patients access medications at lower costs and communicating...Full time$46.99k - $122.4k
Phipps Pharmacy in Nashville, Tennessee is looking for a detail-oriented member appeal coordinator with at least 2 years of Certified Pharmacy Technician experience. The ideal candidate will engage with patients, assist them in navigating costs for medications, and coordinate...Full time$46.99k - $122.4k
CVS Health is looking for a Member Appeal Coordinator to join our Meritain Pharmacy Solutions team in Providence, RI. This role is essential in helping members navigate their healthcare needs while ensuring they receive medications at the most affordable price. We seek...Full time$46.99k - $122.4k
Stryker Corporation in Denver, Colorado, is seeking a member appeal coordinator to assist patients in navigating medication costs and... ...inquiries. The ideal candidate will have over 2 years of Certified Pharmacy Technician experience, be detail-oriented, and possess...$46.99k - $122.4k
...for Career Enhancement in Providence, RI, is seeking a Member Appeal Coordinator. In this full-time role, you will engage with patients to... ...the lowest cost possible. The ideal candidate is a certified pharmacy technician with at least 2 years of experience. The anticipated...Full time$20 - $21 per hour
...This position is posted by Jobgether on behalf of a partner company. We are currently looking for an Appeals Coordinator in the United States. As an Appeals Coordinator, you will play a vital role in ensuring the accurate review, tracking, and resolution of medical...Remote jobHourly payFull timeWork at officeWork from home- ...Description Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA) . Specialty infusion prior... ...prior authorizations, pre-determination, and appeals Ability to interpret payor contract fee schedules based...Contract workWork at officeRemote workMonday to Friday
$20 - $22 per hour
...A-Line Staffing is now hiring a Grievance and Appeals Coordinator in Woodland Hills, CA. The Grievance and Appeals Coordinator would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week. If you are interested...Hourly payFull timeImmediate startRemote workMonday to FridayShift work- ...Appeals and Grievances Coordinator is a full-time role responsible for managing the appeals and grievances process for dental and vision services, collaborating with various teams to ensure compliance and timely resolutions. Key Responsibilities Complete appeals and...Full timeWork at officeRemote work
- ...Provides operational support to Revenue Cycle in areas of billing and appeals. Tracks all appeals, facilitates timely submission, and performs record keeping. Responsibilities Partner with Appeals Coordinators, Utilization Review, and Patient Accounts Managers to ensure...Work at office
$18.43 per hour
...A-Line Staffing is now hiring a Coordinator I (Prior Auth & Appeals) ! This remote opportunity supports a respected healthcare organization and offers strong experience-building potential. See additional details below. Coordinator I Highlights Pay: $18.43 per hour Schedule...Hourly payFull timeTemporary workWork at officeImmediate startRemote workWork from homeHome officeMonday to FridayShift work$22 - $23 per hour
...Immediate need for a Grievance & Appeals Coordinator . This is a 12+ Month Contract opportunity with long-term potential and is US ( Remote ). Please review the job description below and contact me ASAP if you are interested. Job Diva ID: 26-07046 Pay Range: $22.00 - $...Contract workWork at officeLocal areaImmediate startRemote work$300k
...through food. As a perishable department coordinator, you'll work with a team to ensure the... ...well-merchandised in innovative, eye-appealing displays and stocked in correct locations... ...cashier, food preparation, stocking, pharmacy, perishable, culinary, and overnight operations...Full timePart timeSeasonal workSummer internshipLocal areaImmediate startWorldwideHome officeRelocation packageFlexible hoursShift workNight shift$19.39 per hour
...ensures effective and efficient delivery of Pharmacy call center services. Serves as first... ...sale prescription claim transitions and coordination of benefits practices/procedures.... ...pharmacy representative in onsite member appeals and grievances sessions. Serve as a resource...For contractorsLocal area- ...A company is looking for a Senior Coordinator Complaint Appeals Operations - Remote. Key Responsibilities Manage and resolve complex appeal scenarios, coordinating responses from multiple business units Research and analyze incoming electronic appeals, identifying trends...Remote work
$23.22 - $34.84 per hour
...A leading health insurance provider is seeking a Grievance & Appeals Coordinator to work virtually full-time, with responsibilities including summarizing complaints, ensuring resolution of grievances, and documenting interactions. The ideal candidate should possess a high...Hourly payFull timeRemote work- ...Job Summary The Denials & Appeals Coordinator is responsible for managing, tracking, and resolving denials and appeals to ensure timely reimbursement. This role requires in-depth knowledge of payer guidelines, systems, and requirements to navigate complex denial cases...Work at officeRemote work
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