Hybrid Pharmacy Claims Auditor (CPhT) - Onsite/Remote
JobRx, Inc.
- Remote job
JobRx, Inc. is seeking a Pharmacy Claims Auditor CPhT based in Miami, FL. In this role, you will conduct pharmacy audits for accuracy and compliance, requiring both retail pharmacy experience and a valid CPhT certification. The position supports a hybrid work model, working 25% from home and conducting audits at various pharmacy locations for the remaining 75%. Team members enjoy comprehensive health benefits and opportunities for professional growth. #J-18808-Ljbffr JobRx, Inc.
- ...solutions provider is seeking a Pharmacy Claims Auditor CPhT to conduct pharmacy audits and ensure... ...regulations, and making onsite visits. Ideal candidates will have... ...communication skills. This role offers a hybrid work model, combining remote work and field audits. #J-18808-...Remote workClaims
- ...leading service provider in Miami, FL is seeking a Pharmacy Claims Auditor CPhT to ensure accuracy in pharmacy claims. This role... ...National CPhT Certification. The position offers a hybrid work model, allowing 25% remote work and includes comprehensive benefits from the...Remote workClaimsWork at office
$57k
...Pharmacy Claims Auditor CPhT Through our dedicated associates, Conduent delivers... ...audit results. Conducting Onsite and Desktop and... ...following working conditions: ~ Hybrid work: Will be working from... ...Hudnell, San Antonio, TX, 78226, US (Remote) Conduent, Inc.Remote workClaimsWork at officeLocal areaWork from homeFlexible hoursNight shift- JobRx, Inc. is seeking a Pharmacy Claims Auditor CPhT to conduct comprehensive audits on pharmacy claims to ensure accuracy. This role involves examining... ...have experience in a retail pharmacy environment. With a hybrid work model, you'll spend 25% of your time at home and 75%...Claims
$57k
...individuality is noticed and valued every day. Pharmacy Claims Auditor CPhT Do you have a CPhT certification?... ...to report audit results. Conducting Onsite and Desktop and Credentialing Audits... ...the following working conditions: Hybrid work: Will be working from home 25%...ClaimsWork at officeLocal areaWork from homeFlexible hoursNight shift$24 per hour
...Caremed-Specialty-Pharmacy in Woodridge, IL, is seeking a Pharmacy Adjudication... ...Specialist to adjudicate pharmacy claims based on coordination of benefits.... ...This is a Full-Time position with a remote hybrid opportunity after an onsite training period. Successful candidates...Remote workClaimsFull timeRelocation package- ...Caremed-Specialty-Pharmacy in Houston, TX is seeking a Pharmacy Adjudication Specialist... ...involves adjudicating pharmacy claims and managing communications with... ...is a Full-Time position offering a hybrid work arrangement following an onsite training period. Candidates should...Remote workClaimsFull timeRelocation package
$25 - $32 per hour
...Onsite Care Coordinator (Specialty Pharmacy) - Tacoma, WA Tacoma, Washington We're looking... ...Process pharmacy claims Coordinate medication... ...national certification as CPhT is preferred Excited... ...matter how radical. We are a remote-first company, however some...Remote workClaimsHourly payWork from home- ...Join to apply for the Onsite Nurse Case Manager (Hybrid/Remote) role at MEM . Are you driven to keep people safe? That’s what we do every day at MEM Insurance... ...this with the policyholder, treating physicians, and claims representatives. The nurse case manager facilitates a...Remote workClaimsCasual work
$45 - $48 per hour
...A prominent debt recovery firm is seeking a Premium Auditor in Winston-Salem, NC. This hybrid role involves conducting insurance audits, analyzing financial documents, and communicating results. Candidates should have an Associate's Degree and two years of audit experience...Remote work- ...decisions. At AZ Blue, we have a hybrid workforce strategy, called... ...are classified as hybrid, onsite or remote. While the majority of our... ...limited to: Customer Service, Claims Processors, and... ...experience in the managed care pharmacy field Required Education Doctor...Remote workClaimsFull timeWork experience placementWork at officeFlexible hoursShift work1 day per week
$17.75 - $19 per hour
Refill Pharmacy Technician (CSR) - Freedom - Remote, AZ; Onsite, MA This is a permanent work from home position within the... ...a team player - Escalate complex claims to the Sr. Billing & Reimbursement... ...Job If residing in AZ - a valid CPhT license If residing in MA - a valid...Remote jobClaimsHourly payPermanent employmentWork at officeLocal areaWork from home- ...Pharmacy Technician AnewHealth is one of the nation's leading pharmacy care management... ...multiple skillsets. This is an office (or remote) based, cubicle environment, allowing the... ...clarifications or transfers. Perform claim adjudication and auditing duties such as...Remote workClaimsFull timeTemporary workWork at officeLocal areaFlexible hours
$100k
Join to apply for the Premium Field Auditor (Hybrid) role at Brown & Joseph AR Management | an ARMStrong... ...position - work from home and complete remote audits 2-3 days per week... ...&D - Quality Systems & Auditing Complex Claims Consultant - Architect & Engineer Liability...Remote workClaimsWeekly payFull timePart timeLocal areaImmediate startWork from homeHome office2 days per week3 days per week- ...analyst who will be responsible for onsite support as well as inbound... ...and many other tasks. In this hybrid role, you'll become an... ...remainder of your week will be remote, where you'll extend your expertise... ...Assist with RMAs and warranty claims for damaged or failed equipment...Remote workClaimsWork at officeWork from homeFlexible hoursNight shift3 days per week1 day per week
- ...position based in Clemson, SC, with up to 75% remote work flexibility. The successful candidate will have 4-6 years of claim processing testing experience, preferably in the... .... This role requires the ability to report onsite for training and meetings as necessary, alongside...Remote workClaimsContract work
- .... Responsibilities include performing comprehensive DRG validation and readmission reviews while documenting findings and managing claims. An excellent compensation package and benefits are provided, underscoring our commitment to employee well-being. #J-18808-Ljbffr...Remote workClaims
$80.06k - $106.06k
...Inland-Empire-Health-Plan- is looking for a Product Configuration Quality Analyst in Rancho Cucamonga, CA. This hybrid role involves ensuring the integrity of claims system configurations, auditing for accuracy, and working closely with various teams for effective claims...Remote workClaims- ...JobRx, Inc. is seeking a Pharmacy Adjudication Specialist for their Scottsdale, AZ location. This... ...-Time position offers the potential for hybrid remote work after training. Successful candidates will adjudicate pharmacy claims, ensuring accuracy and compliance with insurance...Remote workClaimsFull time
$134.37k - $147.78k
...procedures. Works effectively in a hybrid work environment (such as Pharmacy store, Call Center, Micro-Fulfillment, and/or remote) and provides pharmacy... ...). Processes insurance claims. Liaises with insurance... ..., medical providers and auditors. Develops and maintains...Remote workHourly payLocal areaShift work1 day per week$34 - $41 per hour
...~ This position may be performed onsite or remotely; however, onsite work is preferred based... ...and other related files. Knowledge of claims processing and remittance data. Knowledge... ...of healthcare. Some roles may allow hybrid or remote work based on business needs....Remote workClaimsHourly payShift work- ...is seeking a Personal Auto Bodily Injury Claims Adjuster to manage a portfolio of personal... ...environment with potential for some remote flexibility. The ideal candidate has over... ...negotiation skills, and is comfortable working onsite in a growing operations team. #J-18808-...Remote workClaimsWork at office
- ...Analyst to manage billing processes and compliance. This position involves reviewing individual charges, processing claims, and telecommuting with a hybrid model. Candidates must have a strong background in healthcare insurance billing and familiarity with Federal and...Remote jobClaims
$32.15 - $37.18 per hour
...exceeding set goals. # Timely processing for billing all initial claims including those edited through the billing scrubber. #... ...~ Work Location Requirement: This position may be performed onsite or remotely; however, onsite work is preferred based on business needs. Preference...Remote workClaimsHourly pay- ...Grand Prairie, Texas seeks a Clinical Provider Auditor II focused on payment integrity. This role involves examining claims for compliance and preventing fraud,... ...certifications. The position offers a mix of in-office and remote work options, promoting flexibility and...Remote workClaimsWork at office
- ...A compliance and administration firm is seeking an Entry Level Account Coordinator (Pharmacy Auditor) to participate in claims audit processes remotely. Responsibilities include conducting audits to ensure proper healthcare claim practices and collaborating with the Client...Remote workClaims
- ...Job Description Job Description Major National Insurance Carrier is looking for a strong commercial liability claims professional. The ideal candidate will have at least 5 to 7 claims years experience, and have knowledge of Auto and General liability. The duties...Remote jobClaims
- ...At AZ Blue, we have a hybrid workforce strategy, called... ...classified as hybrid, onsite or remote. While the majority of... ...to: Customer Service, Claims Processors, and... ...experience as an RN analyst or auditor in Utilization Review,... ...such as medical and pharmacy account team to...Remote workClaimsFull timeWork experience placement1 day per week
- ...Claims Auditor- Remote American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc.... ...Knowledge of automated claims processing systems Hybrid role that may require 2-3 days per week onsite at the Franklin, TN office. Required...Remote workClaimsFull timeTemporary workWork at officeLocal area2 days per week3 days per week
$58.53k - $87.8k
...saving them. Together.This is a hybrid position and candidates must... ...Southern California.The Hybrid Pharmacy Call Center Manager for our... ...in resolving issues related to claims processing, member/provider correspondence... ...Requirements:This is a Hybrid remote role, working in office at...Remote workClaimsLive inWork at office2 days per week3 days per week
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