Hybrid Pharmacy Claims Auditor (CPhT) - Onsite/Remote
JobRx, Inc.
Miami, FL
- 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.
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Hybrid Pharmacy Claims Auditor (CPhT) - Onsite/Remote in Miami, FL vacancy
- ...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
Conduent
Doral, FL2 days ago - 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
Pharmacy Claims Auditor CPhT Do you have a CPhT certification? Would you like to audit pharmacy claims... ...to report audit results. Conducting onsite and desktop and credentialing audits... ...expect the following working conditions: Hybrid work: Will be working from home 25%...ClaimsWork at officeLocal areaWork from homeFlexible hoursNight shift$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- Onco360 in Scottsdale, AZ is seeking a Pharmacy Claims Adjudication Specialist for a hybrid remote position after an onsite training period. You will adjudicate pharmacy claims, resolve third-party issues, and provide service to healthcare providers and patients. The ideal...Remote jobClaimsRelocation package
$25 - $32 per hour
...Onsite Care Coordinator (Specialty Pharmacy) - Pittsburgh, PA We're looking for an On-Site... ...patients Process pharmacy claims Coordinate medication... ...certification as CPhT is preferred Excited about... ...matter how radical. We are a remote-first company, however...Remote workClaimsHourly payWork at officeWork from home$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 weekWALGREENS
Little Rock, AR3 days ago$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- AnewHealth is one of the nation's leading pharmacy care management companies that... ...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
AnewHealth
United States5 days ago $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- .... 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
Zelis Healthcare
Boston, MA2 days ago - ...better health decisions. Hybrid Workforce Strategy... ...in AZ, required to be onsite at least twice per week... ...to: Customer Service, Claims Processors, and Correspondence... ...functions of the job Remote: not held to onsite... ...medical claims review, and pharmacy management. Specific...Remote workClaimsWork at office1 day per week
- 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 jobClaimsFull time
- ...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
$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 payNorthBay Health
United Statesa month ago- ...Pharmacy Technician Molina Healthcare is hiring for a Pharmacy Technician... ...certified. This role is 100% remote, and the hours will be Mon-Fri... ...with assisting with pharmacy claims. Highly qualified... ...Certified Pharmacy Technician (CPhT) and/or state pharmacy technician...Remote jobClaimsWork at office
- ...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
Questor Consultants, Inc.
Atlanta, GA20 days ago - ...workforce challenges. Job Summary Responsible for leading complex pharmacy claim audits, ensuring compliance with client‑specific requirements... ...comprehensive reports with actionable recommendations. The auditor provides strategic insights through advanced data analysis,...Remote jobClaimsWork at officeLocal areaFlexible hours
$45.67 per hour
Auditor Clinical Validation Outpatient Specialty Clinical Job Locations US-Remote ID 2026-18743 Category Audit - Healthcare Position... ...auditing outpatient/specialty claims and documenting the results... ...with Outpatient (APC, PNPP), Pharmacy and/or Inpatient DRG claims....Remote workClaimsHourly payFull timeContract workWork at officeImmediate start- ...Conduct pre‑pay and post‑pay audits to ensure accurate claims payments and denials Ensure regulatory compliance... ...Knowledge of automated claims processing systems Hybrid role that may require 2-3 days per week onsite at the Franklin, TN office Required Qualifications...Remote jobClaimsFull timeTemporary workWork at officeLocal area2 days per week3 days per week
- ...Franklin, TN is seeking a motivated individual proficient in claims processing to join their team. The role involves... ...processing, especially in Medicare and Medicaid. The position is hybrid, requiring 2-3 days onsite each week, and offers various benefits including medical...Claims2 days per week3 days per week
$61.12k - $75.98k
...assistance. This position will work a hybrid schedule which includes a combination of working both onsite at Greenwich Drive (San Diego, CA) and remote. Onsite 3 days a week. This... ...billing hospital medical insurance claims. Extensive knowledge of medical insurance...Remote workClaimsHourly pay3 days per weekUniversity of California
San Diego, CA6 days ago$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS... ...people with the care, pharmacy benefits, data and resources... ...in the auditing of inpatient claims. Employing both industry and... ...Ability to work independently in a remote environment and deliver...Remote workClaimsHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation packageReliant Medical Group
United States2 days ago$113.77k - $215.57k
...Diagnosis Related Group Coding Auditor Principal - Carelon Payment... ...position will work in a hybrid model (remote and office). The ideal candidate... ...medical records on claims paid based on Diagnostic Relation... ...requirements and expectations for time onsite will be discussed as part of...Remote workClaimsDaily paidWork at officeLocal area1 day per week- ...Pharmacy Technician Position Position is onsite in Coral Gables, FL. As a Certified Pharmacy... ...projects Review pharmacy claims for appropriateness... ...hour of lunch)]. Will work remotely on weekends and holidays... ...Technician License (CPhT) required Managed Care...Remote workClaimsContract workMonday to FridayShift workWeekend work
$58.53k - $87.8k
Hybrid Pharmacy Call Center Manager—Southern California Hybrid position; candidates must live in... .... Assist in resolving issues related to claims processing, member/provider correspondence... ...of staff. Job Requirements Hybrid Remote Role: Working in office at least 2‑3 days...Remote workClaimsFixed term contractWork experience placementLive inWork at office2 days per week3 days per week$58.53k - $87.8k
...Hybrid Manager For Pharmacy Technicians Alignment Health is breaking the mold in conventional health... ...Assist in resolving issues related to claims processing, member/provider correspondence... ...Job Requirements: This is a Hybrid remote role, working in office at least 2-3...Remote workClaimsWork experience placementWork at office2 days per week3 days per week$25 - $35 per hour
...patients, Specialty Pharmacy staff, and clinic... ...tertiary insurance claims Resolve any billing... ...upon hire. CPhT-Certified Pharmacy... ...7 rotation) ~100% onsite for the first 90 days... ...week after 90 days. A hybrid model after... ...between $25-35/hr Remote Type Hybrid Work...Remote workHourly payFull timeWork at officeFlexible hours2 days per week1 day per week- Myers and Stauffer LC is looking for a Compliance Specialist for a full‑time hybrid position in Tampa. The role requires regular travel to evaluate healthcare provider networks through onsite visits and telephonic surveys, ultimately improving patient access and satisfaction...Remote jobFull time
- Job Brief Hybrid position in Newtown Square, PA 3 days / week. This... ...monthly review of outstanding claim liabilities to assist in... ...Flexible work solutions including remote options, hybrid work schedules... ...benefit management and specialty pharmacy services, behavioral health...Remote workClaimsInternshipWork at officeFlexible hours3 days per week
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Hybrid Pharmacy Claims Auditor (CPhT) - Onsite/Remote. Be the first to apply!
