Pharmacy Billing Pro - Elevate Care & Claims
Guardian Pharmacy, LLC
Guardian Pharmacy of Minnesota seeks a Billing Specialist to join our on-site team in Eden Prairie, MN. The role focuses on processing patient bills and insurance claims, maintaining accurate billing data, and providing excellent service to patients and providers. Responsibilities include researching eligibility, updating billing systems, handling inquiries, and assisting with daily census and payments. Prior authorization and Medicare/Medicaid familiarity are a plus; strong accuracy and #J-18808-Ljbffr Guardian Pharmacy, LLC
$22 - $26 per hour
...Join Guardian Pharmacy of MinnesotaWith one of the nation's largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of... ...call. Responsible for processing customer bills and insurance claims in an accurate and timely manner. This...ClaimsFull timeTemporary workWork at officeFlexible hoursShift workWeekend work$72.8k - $130k
...global organization that delivers care, aided by technology to help... ...people with the care, pharmacy benefits, data and resources they... ...care, and ensure appropriate billing and practice patternsSupport high... ...outcomes data and utilization/claims dataConduct audits of ABA programs...ClaimsMinimum wageFull timeWork experience placementLocal areaRemote workMonday to FridayFlexible hours$72.8k - $130k
...global organization that delivers care, aided by technology to help... ...people with the care, pharmacy benefits, data and resources they... ...care, and ensure appropriate billing and practice patterns Support... ...outcomes data and utilization/claims data Conduct audits of ABA programs...ClaimsMinimum wageFull timeWork experience placementLocal areaRemote workMonday to FridayFlexible hours$24 - $43 per hour
...Coder/Acute Edits And Denials Claims Analyst Optum is a global organization that delivers care, aided by technology to help millions... ...people with the care, pharmacy benefits, data and resources they... ...functions and payer billing workflows is beneficial but not...ClaimsRemote jobHourly payMinimum wageFull timeWork experience placementLocal area$35 - $63 per hour
...global organization that delivers care, aided by technology, to help... ...people with the care, pharmacy benefits, data and resources they... ...in the auditing of inpatient claims. Employing both industry and Optum... ..., and discharge statuses billed by hospitals to identify overpayments...ClaimsHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRemote work$60.2k - $107.4k
Improve the lives of others while Caring. Connecting. Growing together... ...people with the care, pharmacy benefits, data and resources... ...resolve problems within scope, and elevate risks, blockers, or concerns... ..., accounting, actuarial, claims, provider, membership, or healthcare...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workMonday to Friday$200.4k - $343.5k
...Improve the lives of others while Caring. Connecting. Growing together.... ...payer and tier level, redesigned claim and account flow, and centralized master billing edits Shift the model from reactive... ...roadmaps to COE priorities — and elevate credibly when they are not...ClaimsMinimum wageFull timeContract workWork experience placementWork at officeLocal areaRemote workMonday to FridayShift work$20 - $36 per hour
...organization that delivers care, aided by technology to... ...people with the care, pharmacy benefits, data and... ...supports the procedures billed Identify documentation... ...Work coding edits, claim denials, and audit findings... ...Physician coding (Pro-Fee) experience ~ Experience...ClaimsRemote jobHourly payMinimum wageFull timeTemporary workWork experience placementLocal area$112.7k - $193.2k
...GroupOptum is a global organization that delivers care, aided by technology to help millions of... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ...and reimbursement experiences, including claim intake, receipt/document submission,...ClaimsMinimum wageFull timeWork experience placementLocal area$134.6k - $230.8k
...Optum is a global organization that delivers care, aided by technology to help millions of... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ...and analytic work in analyzing financial, claims, utilization and cost data, ensuring quality...ClaimsMinimum wageFull timeContract workWork experience placementWork at officeLocal areaRemote work$112.7k - $193.2k
...Optum is a global organization that delivers care, aided by technology to help millions of... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ...Shared Saving Programs) Analyze revenue/claim data from multiple sources and translate...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$134.6k - $230.8k
...connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep... ..., ikaSystems or comparable platformsGuide work across claims, enrollment, billing, benefits, provider, pricing, customer service, finance and...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$72.8k - $130k
...GroupOptum is a global organization that delivers care, aided by technology to help millions of... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ...or support revenue recognition and billing processes, including evaluating unique or...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote work$17.85 - $24.15 per hour
...will play a vital role in ensuring smooth billing processes and excellent patient... ...prior to appointments. Prepare and submit claims to insurance companies accurately and timely... ...exceptional orthopedic and chiropractic care. Our patients love us for our dedicated team...ClaimsHourly payTemporary workWork at office$134.6k - $230.8k
...system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our... ...of at least one of the following domains: claims, provider, finance, enrollment & eligibility, billing, utilization management5+ years of experience leading...ClaimsMinimum wageFull timeWork experience placementLocal areaRemote work$90k - $195k
...GroupOptum is a global organization that delivers care, aided by technology to help millions of... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ...complex care, oncology, NICU, focused claims review, women's health, metabolic and cardiometabolic...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$20 - $36 per hour
...Optum is a global organization that delivers care, aided by technology to help millions of... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ...records for data retrieval, analysis and claims processing. This position is expected to...ClaimsRemote jobHourly payMinimum wageFull timeApprenticeshipWork experience placementWork at officeLocal area$112.7k - $193.2k
...GroupOptum is a global organization that delivers care, aided by technology, to help millions of... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ...and payer operations, including claims operations, operational performance, and...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$18 - $32 per hour
...global organization that delivers care, aided by technology to help... ...people with the care, pharmacy benefits, data and resources they... ...research incoming healthcare claim calls from providers (doctors,... ....e., benefit and eligibility, billing and payments, authorizations for...ClaimsHourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaRemote workWork from homeMonday to FridayShift work$91.7k - $163.7k
...GroupOptum is a global organization that delivers care, aided by technology to help millions of... ...by connecting people with the care, pharmacy benefits, and data they need to feel... ...engineering roadmap for an enterprise curated claims data layer spanning over 2,000 tables. In...ClaimsMinimum wageFull timeWork experience placementLocal areaRemote work$75k - $160k
...GroupOptum is a global organization that delivers care, aided by technology to help millions of... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ..., fertility, NICU, NurseLine, focused claims review, and strategic partnershipsIdentify...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$134.6k - $230.8k
...GroupOptum is a global organization that delivers care, aided by technology to help millions of... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ...experience, using NPS, call drivers, claims friction, behavioral data, and research to...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work- Soleo Health is seeking a Full-time Infusion Care Coordinator (Patient Ambassador) to support our Specialty Infusion Pharmacy in Eden Prairie, MN. The role emphasizes data entry for billing, coordinating nursing schedules, and delivering a seamless patient experience....Full time
$91.7k - $163.7k
...Optum is a global organization that delivers care, aided by technology to help millions of... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ...and drawing insights Experience in Rx Claim Experience in IQPR Experience in MediSpan...ClaimsRemote jobMinimum wageOngoing contractFull timeWork experience placementWork at officeLocal area$112.7k - $193.2k
...remove friction and drive alignment between care providers and payers, and ultimately... ...plans and healthcare organizations ensure claims are paid accurately and fairly, reducing... ...to detect fraudulent provider, member, or billing behaviorOwn product strategy, roadmap, and...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workShift work$90k - $195k
...Optum is a global organization that delivers care, aided by technology to help millions of... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ...and complex care, oncology, NICU, focused claims review, women's health, metabolic and cardiometabolic...ClaimsRemote jobMinimum wageFull timeWork experience placementWork at officeLocal area$75k - $160k
...GroupOptum is a global organization that delivers care, aided by technology to help millions of... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ...solid working knowledge of claims, marketing and managed care systems, including...ClaimsMinimum wageFull timeContract workWork experience placementWork at officeLocal areaRemote work$120.1k - $214.5k
...GroupOptum is a global organization that delivers care, aided by technology to help millions of... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ...initiatives across prior authorization, claims, eligibility, and provider domains to...ClaimsMinimum wageFull timeWork experience placementLocal areaRemote work$112.7k - $193.2k
...system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep... ...experience in at least one payer domain, such as claims, enrollment / eligibility, billing, or provider5+ years of external client-facing consulting...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$91.7k - $163.7k
...GroupOptum is a global organization that delivers care, aided by technology to help millions of... ...by connecting people with the care, pharmacy benefits, data and resources they need to... ...Understands the Eligibility and Pharmacy Claims adjudication process Monitor performance...ClaimsMinimum wageFull timeContract workWork experience placementLocal areaRemote work
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