Pharmacy Claims Adjudication Expert
POLARIS PHARMACY SERVICES OF LOS ANGELES LLC
Polaris Pharmacy Services of Los Angeles LLC is seeking an Adjudication Specialist to manage a portfolio of rejected pharmacy claims, ensuring accurate billing and maximum payer reimbursement. You will authenticate claim details, resolve denials, and coordinate with providers for additional documentation. Strong English communication, data-entry, and MS Office skills are essential for success in a fast-paced environment. #J-18808-Ljbffr POLARIS PHARMACY SERVICES OF LOS ANGELES LLC
- WHO WE AREAt Polaris Pharmacy Services, we’re more than a pharmacy —... ...seamless, compassionate, and expert support.Founded in 2015, Polaris... ...grow with us.JOB SUMMARY:The Adjudication Specialist manages a portfolio of rejected pharmacy claims, ensuring timely billing and maximum...ClaimsFull timePart timeSeasonal workShift work
- A community-focused organization in San Dimas is seeking a Billing Specialist to review and ensure compliance of documentation and billing processes. The ideal candidate will have a bachelor's degree in a related field, for quality assurance experience, and familiarity ...Claims
- Polaris Pharmacy Services is seeking a Medical Billing Manager to oversee the end-to-end billing process, including charge entry, claims submission, payment posting, and appeals. You will ensure accuracy, HIPAA/compliance, and optimize revenue cycle operations. The role...Claims
$20 - $23 per hour
...Specialist - Remote Fully Remote Polaris Pharmacy Services of Los Angeles - Covina, CA... ...seamless, compassionate, and expert support. Founded in 2015, Polaris... ...: Process third-party billing, claim resolution, and adjudication Manage FFS and PPS billing Conduct...ClaimsRemote jobHourly payFull timeTemporary workPart timeShift work- ...Job Opportunity at 986 Pharmacies986 Pharmacy is the hiring entity, not 986 Degrees Corporation.Hiring Locations:San Gabriel, CA... ...information from the pharmacy system, processing payments, adjudicating claims with third party payers, and assisting pharmacy staff with processing...Claims
$20 - $24 per hour
...develop the skills and abilities of a pharmacist while attending pharmacy school. All duties and responsibilities must be completed under... ...education, training and professional licensure/certifications claimed by me and to secure from my former employers and references...ClaimsContract workInternshipImmediate startFlexible hoursAfternoon shift$16 - $22 per hour
...CVS Health is seeking Pharmacy Technicians to assist pharmacists with filling prescriptions, assisting customers, and supporting daily... ...measuring medications, labeling prescriptions, processing insurance claims, handling customer transactions, and assisting customers at the...Hourly payFull timeShift workWeekend workAfternoon shift- An insurance claims adjusting firm in California is looking for Licensed Claims Adjusters to join their team. This role offers the chance to make a significant impact by helping clients recover from disasters while enjoying flexibility and competitive pay. The company...Claims
- WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy - we're a dedicated partner... ...receives seamless, compassionate, and expert support. Founded in 2015, Polaris is... ...process, ensuring efficient charge entry, claims submission, payment posting, and appeals...ClaimsFull timeTemporary workPart time
- MileHigh Adjusters Houston is seeking Independent Insurance Claims Adjusters to join a dynamic and in‑demand field. As a Licensed Claims... ...equip you with the essential skills for claims adjusting. Our expert instructor will provide hands‑on training, insider tips, and practical...ClaimsFlexible hours
- A leading insurance claims company in California is seeking Independent Insurance Claims Adjusters to help individuals and businesses recover from disasters. This role offers a fulfilling career with opportunities for training and growth, alongside the flexibility of working...ClaimsFlexible hours
- ...Role Overview Turing invites Legal Experts to join projects that fine-tune AI models like ChatGPT. If you enjoy applying legal reasoning, analyzing complex cases, and providing clear, structured feedback, this is your chance to put your expertise to work in a new way....FreelanceRemote workFlexible hours
$100 per hour
...leading LLM companies. Offer Details Pay rate: $100+/hour (depends on role and candidate expertise) Assessment: Shortlisted experts complete an evaluation before selection. Assignments: Contract roles with defined start/end dates; up to 40 hrs/week. About...Hourly payContract workRemote workFlexible hours- ...efficient manner and re-injury does not occur. Coordinate with the Head Athletic Trainer to organize the referral and insurance claims process for any injury requiring further evaluation and treatment. Organize and maintain all medical records, keeping files up-to...ClaimsPart timeLocal area
$20 - $24 per hour
Overview Company Overview: Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global...ClaimsWork experience placementWork at officeLocal area- ...an experienced and motivated Pharmacist-in-Charge (PIC) to lead pharmacy operations and ensure full compliance with state and federal... ...review of all Fraud Awareness Policies and Procedures. Monitors claims for denial and audits the billing records at least quarterly....ClaimsWork at officeFlexible hours
$33.5 - $45.3 per hour
...Job Objectives Provides pharmacy consulting services to customers regarding the effective usage of medications, awareness with drug... ...productivity. Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows...Hourly payInternshipLocal areaShift work- ...orthopedic practice ~25-35 patients per day in clinic ~1 OR Block per week and 1 shared block day for added cases ~ EMR - Tenzing ~ Claims-made professional liability insurance ~ Market-leading salary guarantee plus production ~ Generous benefits package ~ Open to...ClaimsWork at officeWork visaWeekend workWeekday work
- Independent Insurance Claims Adjuster Join MileHigh Adjusters Houston as an Independent Insurance Claims Adjuster. This role offers flexibility, autonomy, and competitive compensation. Why This Opportunity Matters Demand for claims adjusters is growing due to increased...Claims
- A leading insurance adjusting company is seeking Independent Insurance Claims Adjusters to join their team. This role offers flexibility and competitive compensation while making a real difference in the lives of others. Candidates must be licensed adjusters with significant...ClaimsFlexible hours
- A leading independent insurance adjuster company in California is seeking motivated individuals for the role of Licensed Claims Adjuster. This position offers dynamic opportunities for growth and advancement within a crucial sector that assists people during difficult...ClaimsFlexible hours
- A leading claims adjusting firm in California is looking for Licensed Claims Adjusters to join their team. This role offers a dynamic career path where you will help clients recover from unforeseen disasters. With comprehensive training provided, you'll gain essential...Claims
$100k
...manage our delivery partner insurance program. This role involves reviewing insurance coverage, monitoring compliance, and supporting claims management. The ideal candidate will have experience in transportation insurance, handling claims, and working with various...Claims- A claims adjusting company in California is seeking an Independent Insurance Claims Adjuster (Licensed) to play a crucial role in helping individuals recover from disasters. This position offers a chance to make a significant impact on people's lives while allowing for...ClaimsFlexible hours
- ...leading insurance adjustment firm is seeking Independent Insurance Claims Adjusters ready to embark on a rewarding career path. With... ...new to the field, this firm supports your journey towards becoming an expert Claims Adjuster. #J-18808-Ljbffr MileHigh Adjusters HoustonClaims
$31.03 - $46.54 per hour
...reviews. You will document decisions using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and level of care reviews for requested services using clinical judgment and...ClaimsFull time$42.8 - $66.34 per hour
Emanate Health is seeking a Radiologic Technologist to perform cardiovascular procedures in Covina, California. The ideal candidate should be a graduate of an accredited School of Radiologic Technology and have at least two years of experience, preferably in a cardiac cath...Hourly pay- MileHigh Adjusters Houston is seeking an Independent Insurance Claims Adjuster in California. This role offers flexibility, autonomy, and competitive compensation in a growing field due to increased storm-related events. Successful candidates will be licensed adjusters...ClaimsFlexible hours
- A leading claims adjusting company in La Puente, CA, is urgently seeking Independent Insurance Claims Adjusters. This dynamic role offers flexibility, autonomy, and competitive compensation while allowing you to help individuals and businesses recover from disasters. Whether...ClaimsFlexible hours
- Covina Pet Care in Covina, California, is seeking a veterinary technician to join our full-service animal care team. Responsibilities include patient restraint, lab sample collection, radiography, anesthesia monitoring, and client communication. 2+ years vet med experience...
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