Rx Claims SME
TechDigital Group
JD: In depth knowledge on RxClaim Adjudication, claims processing, MedD claims Deep knowledge of PBM concepts, including drug pricing, copays, accumulators, and Drug Utilization Review (DUR) Knowledge on business & plan configuration and plan option knowledge. Facilitate discussion with Product Owners, Business and clarify business requirements High level knowledge in executing root cause analysis, managing data validation, and navigating automated database systems/reporting tools. #J-18808-Ljbffr TechDigital Group
Vacancy posted 1 day ago
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Starkey Laboratories in Eden Prairie, Minnesota is seeking a Claims Specialist who will support operations and financial objectives through back-end verification and submission of insurance claims. Ideal candidates have experience with medical billing/claims, a high school...ClaimsHourly pay- ...Senior Claims Examiner Driasi is an ambitious, innovative and fast-paced company. We offer exceptional training and development programs, competitive pay, great benefits, all within an engaging, fun, and collaborative work environment. The staff in Driasi has the unique...ClaimsTemporary workWork at office
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Minnetonka, MN16 hours ago - ...A leading claims adjusting firm is seeking Licensed Claims Adjusters to join their team in the United States. This role offers the chance to help rebuild lives affected by disasters, along with the flexibility and autonomy of claims adjusting. Candidates are encouraged...Claims
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Savage, MN1 day ago $40k - $45k
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Wayzata, MN16 hours ago - ...those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and... ...billed, but not received), order errors or damaged goods involving Rx drugs. May assist pharmacist in administering clinical services...ClaimsApprenticeshipWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift
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Eden Prairie, MN4 days ago $91.7k - $163.7k
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Eden Prairie, MN2 days ago$40k - $50k
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