Top 82 Senior claims processor Jobs

Pharmacy Claims Processor / Remote
PharMerica —Louisville, KY
- Full-time
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- Customer service
- Basic math
- Research
- Disability insurance
- Health insurance
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Intuit —Atlanta, GA
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GreenState Credit Union —North Liberty, IA
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GreenState Credit Union —North Liberty, IA
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Hospital Claims Processor
Choice Medical Group —Apple Valley, CA
- $20 - $25 an hour
- Full-time
- Background check
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Sr. Manager Claims (Remote)
American Medical Association —Chicago, IL
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- 7 years
- Writing skills
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Senior Consultant (Source Code Review)
Lumenci —Remote
- $80 - $100 an hour
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- 3 years
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Claims Processor
Redeemer Health —Philadelphia, PA
- Full-time
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- Medical terminology
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Claims Adjudicator Sr
Loma Linda University Health —Redlands, CA
- $26.03 - $32.51 an hour
- Full-time
- Microsoft Outlook
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Sr. Associate - Customer Care - Non - Voice 5B
Genpact US Services, LLC. —Richardson, TX
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- Marketing
- English
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Quick Apply
14d
Senior Benefits Manager
Saputo Inc. —Milwaukee, WI
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- Email
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- 8 years
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Supervisor, Medical Claims
Moda Health —Milwaukie, OR
- $59,922.05 - $74,902.56 a year
- Weekends as needed
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- Paid holidays
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MSO CLAIMS MANAGER
NORTH EAST MEDICAL SERVICES —Burlingame, CA
- $112,247.20 - $128,752.00 a year
- Full-time
- 5 years
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Payment and Fraud Governance Manager
Ocean Bank —Miami, FL
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Senior ServiceNow FSO Architect
NTT DATA, Europe & LATAM, Branch in USA, Inc. —Miami, FL
- Contract
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- 5 years
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10d
Sr. Analyst, Warranty
Mobis Parts America, LLC. —Fountain Valley, CA
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Senior Staff Personnel Analyst
University of California, Irvine —Irvine, CA
- $79,200 - $95,250 a year
- Full-time
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CLEAResult Consulting Inc. —Salem, OR
- $18.55 - $26.00 an hour
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- Residential
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- US work authorization
- Health insurance
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Quick Apply
8d
Claims Processor
Banner Health —Arizona
- $18.02 - $27.03 an hour
- Part-time
- Remote
- Research
- Mid-level
- Organizational skills
18h

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Pharmacy Claims Processor / Remote

PharMerica -
Louisville, KY

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Job Details

Full-time

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance
Employee discount
Flexible schedule
Life insurance

Qualifications

Medicare
Serving clients
Customer service
Overseeing healthcare denial management
Basic math
Research
Mid-level
Pharmacy technician experience
High school diploma or GED
Medical billing discrepancy resolution
Health insurance knowledge
Industry trends
Medical claims submission
Filing patient billing claims
Medicaid
Productivity software
Associate's degree
Medical claim denial management
Leadership

Full Job Description

Our Company:

PharMerica

Overview:

Step Into a Rewarding Role as an LTC Pharmacy Claims Specialist with PharMerica!

Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly matters—delivering exceptional care and service.

Why Join PharMerica?

Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
Career Growth: We’re in high growth mode, offering plenty of opportunities for those looking to advance their careers.
Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!

What You’ll Do: As a dynamic Claims Specialist, you will:

Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
Be a vital part of a team that’s dedicated to enhancing patient care through meticulous claims management and customer service.

Shift: Varying shifts available from 4:30am-12:00am. Overnight & Weekend shifts required.

Must have pharmacy claims or adjudication background.

What We Offer:

DailyPay
Flexible Schedules
Competitive Pay with Shift Differentials
Health, Dental, Vision, and Life Insurance
Company-Paid Disability Insurance
Tuition Assistance & Reimbursement
Employee Discount Program
401k Plan
Paid Time Off
Non-Retail, Closed-Door Environment

Responsibilities:

The Claims Specialist - 3rd Party:

Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
Works as a team to identify, document, communicate and resolve payer/billing trends and issues
Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
Prepares and maintains reports and records for processing
Performs other tasks as assigned

Qualifications:

Education/Learning Experience:

Required: High School Diploma or GED
Desired: Associate’s or Bachelor’s Degree

Work Experience:

Required: Customer Service
Desired: Up to one year of related experience. Pharmacy Technician experience

Skills/Knowledge:

Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite
Desired: Knowledge of the insurance industry’s trends, directions, major issues, regulatory considerations and trendsetters

Licenses/Certifications:

Desired: Pharmacy technician, but not required

About our Line of Business: PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn. Additional Job Information:

This is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.

Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.

Apply Now

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senior claims processor jobs

Pharmacy Claims Processor / Remote

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