On-Site Pharmacy Billing Specialist: Claims & Compliance
Guardian Pharmacy
Guardian Pharmacy, LLC in Brighton, Michigan is seeking a dedicated individual for billing and insurance claims processing. Responsibilities include managing customer bills, assisting with daily billing functions, and providing excellent service to patients and providers. Applicants should possess a High School Diploma or GED, a Pharmacy Technician license, and at least 1 year of relevant experience. The role requires strong attention to detail and the ability to work in a collaborative environment. Competitive pay, health benefits, and 401(k) with matching are offered for full-time employees. #J-18808-Ljbffr
- ...Description General Purpose of Job: A Billing Follow-Up Specialist is responsible for accurate and... ...rendered by appealing denials, correcting claims, and working diligently with payers... ...follow-up activities in Epic in compliance with department policies. Quickly...WebsiteClaims
- ...Corporate Compliance Manager The Manager of the Corporate Compliance Department is an administrative position with responsibility... ...o Including OIG Referrals, provider fraud referrals, claims verification, site visits and complaint reporting • Chair PIHP Corporate Compliance...WebsiteClaimsLocal area
- ...management and coordinates administrative aspects of the cases and claims. Conducts/coordinates investigations into all reported workers'... ...work requires travel to meetings, conferences, and other work sites with exposure to seasonal weather conditions. Candidates considered...WebsiteClaimsContract workFor contractorsSeasonal workWork at office
$169.22k - $253k
...Medicaid, Insurers, Specialty Pharmacy, Integrated Delivery Networks... ...Administration regional sites, Military Treatment Facilities... ...industry legal, regulatory, and compliance landscape. Communicate key... ...application processing fee, even if claimed you will be reimbursed, this...WebsiteClaimsTemporary workLocal areaRemote workFlexible hours- ...Specialty services within a Pharmacy Benefit Manager (PBM) setting... ...and other business operation sites across the United States with... ...strategy. Analyze pharmacy claims, drug pricing, rebate models,... ...procedures to meet audit and compliance requirements. Execute dynamic...WebsiteClaimsFull timeTemporary workWork at officeRemote workWork from home
- ...dedicated candidate to perform quality audits within their operations. This position is centered around ensuring compliance and maintaining high standards in claims support and service center teams. Ideal candidates should possess an Associate degree and have two years of...ClaimsWork at office
$60 per hour
...Mindrift connects specialists with project-based AI opportunities for leading tech companies, involving evaluating AI-generated auto insurance claims decisions for accuracy and compliance. This role is ideal for mortgage underwriters and loan origination professionals...ClaimsHourly payPart time$45k - $60k
...OTAVA 505 West Merril Street Indianapolis, IN 46225, USA The Billing Specialist role at OTAVA is responsible for supporting the billing process... ...a positive manner. Work Location: Remote with occasional on-site days, 8AM - 5PM, Monday - Friday Role Responsibilities Manage...WebsiteRemote workMonday to Friday- ...Compensation and Benefits Package Job Family: Claims Processing Industry: Insurance Services Overview Medical Bill Review Specialist I Primarily responsible for analyzing bills... ...assigned medical bills to determine compliance with business rules, client specific requirements...Claims
$153.7k - $229.77k
...and provide feedback to optimize performance at all levels Compliance Management: Must comply with all state and federal laws, regulations... ...fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are...WebsiteClaimsTemporary workLocal areaFlexible hours- ...insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims... ...accurate manner Handle investigations by phone, mail and on-site investigations Desired Skills & Experience Bachelor's degree...WebsiteClaimsLocal areaWork from home
- ...Auto-Owners Insurance Claims Professional A career at Auto-Owners is challenging and... ...construction and repair techniques, assuring compliance with statutory requirements including but... ...investigations by phone, mail and on-site investigations. Willing to travel and...WebsiteClaimsLocal areaWork from home3 days per week
$150.03k - $224.25k
...reduction initiatives related to outsourced manufacturing. Compliance & Risk Management: Identify outsourcing risks and develop mitigation... ...fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are...WebsiteClaimsContract workTemporary workLocal areaFlexible hours- ..., part returns, and tear-down analysis related to seat warranty claims. Bachelor’s degree in Mechanical Engineering, Industrial Engineering... ...international travel (approximate 10-20%), including supplier site and manufacturing plants, as required. Preferred Experience...WebsiteClaims
- ...The Customer Support & Billing Operations Specialist plays a key role in supporting daily operational workflows by managing billing related email... ...a customer. Support Services shall be executed in compliance with processing and program guidelines published by Customer...Contract workWork at office
$74.3k - $124.5k
...position is with American Road Services Company, the insurance claims component of Ford Motor Credit Company, playing a critical role... ...Additionally, you will be deployed nationwide to catastrophic loss sites, particularly during peak storm season (March-August). These...WebsiteClaimsWork at officeImmediate startRelocationFlexible hoursNight shift- ...Title: Specialist I, HR Reports to: Sr. HR Manager Location: Lansing, MI LG... ...providing support to employees. FMLA and STD claims are also handled within this role as well... ...needed Maintain cleanliness at work-site in accordance with 5S3R Standards:...WebsiteClaims
- ...nurses, social workers, experienced lab and pharmacy personnel and a psychologist. Our focus... ...isn't just centered on your disease site. Our cutting-edge cancer care is available... ...procedures with regard to inventory control, claims submission and other administrative tasks...WebsiteClaimsCasual workLocal area
- ...comprehensive, customer oriented clinical pharmacy services provided by PACE Southeast... ...implements policies and procedures to ensure compliance with Medicare Part D regulations.*... ...monitoring prescribing patterns across multiple sites to ensure pharmacy initiatives and...Website
$48.8k - $73.2k
...Job Summary Technical specialist and primary customer support contact to diagnose and execute... ...generators and components at the customer’s site. Key Responsibilities Establishes and... ...service worksheets, timesheets, warranty claims, and quality documents via handwritten forms...WebsiteClaimsApprenticeshipRelocation package$24.05 - $36.08 per hour
...physicians, Clinical Documentation Specialists (CDS) or other healthcare... ...needed, to help resolve billing, claims, denials and appeals issues... ...Trinity Health Integrity and Compliance Program and Code of Conduct;... ...travel to various Trinity Health sites as necessary. If...WebsiteClaimsHourly payFull timeWork at officeLocal areaRemote workFlexible hoursShift workDay shift- ...coding reviews ensuring alignment with medical policies, optimizing performance, and regulatory compliance. Ideal candidates will have 5+ years of experience in healthcare claims administration, coding expertise, and excellent problem-solving skills. Benefits include...Claims
- ...Responsibilities You will be responsible for scheduling on-site surveys and providing risk control reports to insurance industry... ...in commercial insurance, real estate, inspection, construction, claim, loss control, underwriting, and/or fire and safety...WebsiteClaimsFor contractorsWork at officeLocal areaWork from home
- ...Clinical Documentation Specialist (CDS) is responsible... ...or revisions including claim submission are the sole... ...of the HIM and billing teams. All coding education... ...education will be approved by Compliance prior to... ...points to share with site/service line leadership...WebsiteClaimsFull timeWork experience placementWork at officeShift work
- ..., part returns, and tear-down analysis related to seat warranty claims. Your Profile Bachelor’s degree in Mechanical Engineering, Industrial... ...international travel (approximate 10-20%), including supplier site and manufacturing plants, as required. We offer you a modern...WebsiteClaimsFlexible hours
$65k - $75k
...the successful execution of business objectives across multiple sites, with a strong focus on operational excellence, team development... ...and Multi Site Directors on store operations, equipment, damage claims, and employee development. Step up to fill open shifts when necessary...WebsiteClaimsFlexible hoursShift workAfternoon shift$18 - $21 per hour
...Location: Remote/Hybrid Hybrid and on-site work in Pompano Beach Florida Remote in... ...in a timely manner Ensure compliance with company procedures, client requirements... ...a managed care, medical coordination, or claims environment Familiarity with medical terminology...WebsiteClaimsWork at officeRemote work$112k - $203k
...evaluation projects at collaboration/partner sites including data collection, protocol... ...Influence regulatory specifications and claims strategy by providing scientific and clinical... ...with regulatory to maintain compliance with clinical claims and technical specifications...WebsiteClaimsLocal areaRemote work$20 - $35 per hour
...identify and correct discrepancies to ensure accurate, compliant claim submission *********** What You Will Do: Review medical... ...accuracy rate and a 95% accuracy rate for APC assignment and meet site-designated productivity standards. Be responsible for tracking...WebsiteClaimsHourly payFull timeReliefRemote workRelocation packageFlexible hours- ...licensed investigator looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-...ClaimsFlexible hours
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