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    DME Service Solutions

    Healthcare

    Pharmacy Benefits Specialist

    Taguig, PhilippinesOn-SiteFull-timePosted 3w ago
    All DME Service Solutions jobs

    Job description

    Responsibilities:

    • Process pharmacy claims accurately and timely to meet client expectations
    • Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage
    • Maintain compliance with patient assistance program guidelines
    • Document all information and data discovery according to operating procedures
    • Research required information using available resources
    • Maintain confidentiality of patient and proprietary information
    • Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws
    • Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering

    Requirements:

    • High school diploma or GED required, Bachelor’s degree strongly preferred
    • One year of Pharmacy Experience, having resolved third party claims
    • Healthcare industry experience with claims background
    • Strong verbal and written communication skills
    • Attention to detail and a strong operational focus
    • A passion for providing top-notch patient care
    • Ability to work with peers in a team effort and cross-functionally
    • Strong technical aptitude and ability to learn complex new software
    • Employees must hold all active licenses and registrations required for the role under applicable state law and as may be required by business necessity

    Job details are sourced from the employer's original posting.

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    DM

    About the company

    DME Service Solutions

    DME Service Solutions provides durable medical equipment and related healthcare services to patients and providers.

    View all DME Service Solutions jobs
    Industry
    Healthcare
    Open roles
    22

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