insurance operations specialist

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 <strong>
  Description
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 </strong>
 <strong>
  The Role
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 </strong>
 <strong>
  Census Management
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 </strong>
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   Administer member additions, deletions, and modifications for clients&rsquo; medical and life insurance policies, ensuring compliance and data integrity.
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   Coordinate card issuance and updates with insurers, maintaining accurate records and audit trails.
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   Conduct thorough reviews of census files to ensure completeness and regulatory compliance.
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   Serve as a primary point of contact for client enquiries related to membership and policy changes, delivering prompt and professional responses.
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  </li>
 </ul>
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  Invoicing &amp; Billing
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 </strong>
 <ul>
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   Monitor and follow up with insurers to secure timely receipt of invoices.
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   Liaise with clients to facilitate prompt premium payments and maintain uninterrupted coverage.
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   Log and update client policy records within internal systems, ensuring transparency and audit-readiness.
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   Address client queries regarding billing and policy administration.
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 </ul>
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  Reporting &amp; Analytics
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 </strong>
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   Audit client invoices and supporting breakdowns for accuracy and alignment with contractual terms.
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   Collaborate with the GDC team to deliver accurate and timely claims utilisation reports.
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   Apply predictive and preventive analytics to enhance data accuracy, enhance client decision-making, and proactively identify risks and improvement opportunities.
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   Analyse, monitor, and report on team performance metrics and KPIs to drive operational excellence and SLA compliance.
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   Conduct client satisfaction surveys, measure client satisfaction levels, and analyse feedback to identify areas for service improvement or expansion within the Service Delivery Team.
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  </li>
 </ul>
 <strong>
  Excellence
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 </strong>
 <ul>
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   Champion continuous improvement initiatives and process re-engineering to optimise service delivery, reduce manual tasks, and drive efficiency.
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   Participate in cross-functional training and upskilling programmes to enhance team capability and adaptability.
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   Contribute to the development and implementation of automation and AI-driven solutions, supporting digital adoption and operational resilience.
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   Support the standardisation, centralisation, and automation of core service delivery processes to enable scalability and consistent quality.
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  </li>
 </ul>
 Foster a culture of accountability, collaboration, and client focus, linking client satisfaction insights to team performance.
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 <strong>
  Qualifications
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  <br/>
 </strong>
 <strong>
  The Requirements
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  <br/>
 </strong>
 <ul>
  <li>
   Bachelor&rsquo;s degree and 3+ years&rsquo; experience in insurance operations or client service.
  </li>
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   Experience with Power BI, Excel, SQL and Python for advanced data analysis, reporting KPIs, and conducting satisfaction surveys.
  </li>
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   Experience with process improvement, automation, or AI solutions (RPA platforms) is a plus.
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   Good stakeholder management and communication skills
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   Ability to work effectively within cross- functional Team
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  </li>
 </ul>
 <strong>
  The Application Process
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 </strong>
 <ul>
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   Stage 1: Online application and recruiter review
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   Stage 2: Live video interview with hiring manager and team
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   Stage 3: Offer and onboarding.
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 </ul>
 We&rsquo;re committed to equal employment opportunity and provide application, interview and workplace adjustments and accommodations to all applicants. If you foresee any barriers, from the application process through to joining WTW, please email candidate.helpdesk@willistowerswatson.com.
</div>


Senior associate_ H&B Data analysis and Reporting

Corazon Imaging

<p><b>Full-Time | Hybrid: 3 Days In-Office / 2 Days Remote</b></p><p><b>About Corazon Imaging</b></p><p>Corazon Imaging is the leading outpatient provider of coronary CT angiography, or CCTA, in the United States. Corazon is focused on expanding access to advanced, non-invasive cardiac imaging that helps physicians identify coronary artery disease earlier, improve patient care, and support better clinical decision-making.</p><p>As Corazon continues to grow nationally, we are seeking a highly organized, detail-oriented <b>Cardiac CT Reporting Operations Specialist</b> to support the timely completion, quality control, combination, and distribution of cardiac CT imaging reports.</p><p><b>General Summary</b></p><p>The Cardiac CT Reporting Operations Specialist will manage the operational workflow for CCTA reporting, including tracking report turnaround times, coordinating the completion and combination of CCTA, FFR-CT, AI-plaque analysis, and extracardiac overread reports, and ensuring final reports are accurately distributed to ordering providers and appropriate recipients.</p><p>This role will also support the creation and submission of templated letters of medical necessity, respond to medical records requests, and help ensure that Corazon&rsquo;s reporting operations are timely, complete, compliant, and provider-focused.</p><p>This is an ideal role for someone with a background in radiology operations, cardiology practice operations, medical records, health information management, prior authorization, imaging center administration, or clinical documentation support.</p><p><b>Essential Duties: </b></p><p><b>CCTA Reporting Workflow Management</b></p><ul><li>Monitor all CCTA cases from image acquisition through final report completion and distribution.</li><li>Track report turnaround time and identify cases at risk of delay.</li><li>Communicate with physicians, radiologists, reading teams, and internal operations staff to ensure reports are completed within expected timeframes.</li><li>Maintain daily reporting worklists and case-status trackers.</li><li>Escalate delayed, incomplete, or missing reports to appropriate leadership.</li><li>Support Corazon&rsquo;s commitment to timely, accurate, and complete cardiac CT reporting.</li><li>Perform other duties as assigned.</li></ul><p><b>Report Combination and Finalization</b></p><ul><li>Coordinate and combine multiple report components into a complete final reporting package, including:</li><li>CCTA report</li><li>FFR-CT report, when applicable</li><li>AI-plaque analysis report, when applicable</li><li>Extracardiac overread report</li><li>Ensure all applicable report components are present before final distribution.</li><li>Review reports for completeness, formatting consistency, correct patient identifiers, correct ordering provider information, and appropriate attachment of supporting documentation.</li><li>Confirm that revised or addended reports are properly tracked and redistributed when necessary.</li></ul><p><b>Report Distribution</b></p><ul><li>Distribute finalized reports to ordering physicians, referring practices, and other approved recipients through approved channels.</li><li>Ensure reports are submitted to the correct practice, provider, fax number, portal, or electronic medical record destination.</li><li>Maintain accurate documentation of report delivery and confirmation when required.</li><li>Assist with provider office follow-up when reports are missing, delayed, or need to be resent.</li><li>Support excellent communication with referring provider offices.</li></ul><p><b>Letters of Medical Necessity and Documentation Support</b></p><ul><li>Prepare templated letters of medical necessity using approved Corazon templates.</li><li>Ensure letters are completed accurately using case-specific information, payer requirements, and supporting clinical documentation.</li><li>Coordinate with internal teams to obtain missing information needed for letters or appeals.</li><li>Maintain organized records of submitted letters and related documentation.</li><li>Support prior authorization, appeal, and medical necessity workflows as needed.</li></ul><p><b>Medical Records Requests</b></p><ul><li>Processing medical records requests in accordance with company policy and HIPAA requirements.</li><li>Verify requestor authorization and ensure records are released only to appropriate parties.</li><li>Gather and send requested imaging reports, supporting documentation, and related records.</li><li>Track completion of medical records requests and maintain proper documentation.</li><li>Work with internal teams to resolve incomplete, unclear, or urgent records requests.</li></ul><p><b>Quality Control and Compliance</b></p><ul><li>Ensure all reporting and records workflows are completed in a HIPAA-compliant manner.</li><li>Protect patient confidentiality and sensitive health information at all times.</li><li>Identify workflow gaps, recurring delays, or documentation issues and escalate appropriately.</li><li>Help maintain standard operating procedures for report tracking, report distribution, letters of medical necessity, and medical records requests.</li><li>Participate in process improvement initiatives to improve turnaround time, reporting accuracy, and provider satisfaction.</li></ul><p><b>Required Qualifications</b></p><ul><li>Minimum of 2&ndash;4 years of experience in a healthcare administrative, radiology, cardiology, medical records, prior authorization, or clinical documentation role.</li><li>Strong understanding of HIPAA and patient privacy requirements.</li><li>Experience working with medical records, physician reports, clinical documentation, or imaging reports.</li><li>Strong attention to detail and ability to manage multiple time-sensitive cases at once.</li><li>Excellent written and verbal communication skills.</li><li>Comfortable communicating with physicians, radiologists, provider offices, patients, and internal team members.</li><li>Strong organizational skills and ability to maintain accurate tracking systems.</li><li>Proficiency with Microsoft Office, Google Workspace, EMR systems, fax platforms, portals, or similar healthcare workflow tools.</li><li>Ability to work independently in a hybrid environment while remaining accountable to daily deadlines.</li></ul><p><b>Preferred Qualifications</b></p><ul><li>Experience in radiology, cardiology, outpatient imaging, hospital imaging, or diagnostic testing operations.</li><li>Familiarity with coronary CTA, cardiac imaging, CT imaging, or advanced imaging workflows.</li><li>Experience with PACS, RIS, EMR, medical records platforms, or provider portal systems.</li><li>Prior experience preparing or supporting letters of medical necessity, prior authorization documentation, or payer appeals.</li><li>Associate&rsquo;s or bachelor&rsquo;s degree in healthcare administration, health information management, business, or a related field preferred.</li><li>RHIT, RHIA, CPC, CMA, medical assistant, LPN, radiology assistant, or similar healthcare credential helpful but not required.</li></ul><p><b>Ideal Candidate Background</b></p><p>The ideal candidate does not need to be a clinician, but should have meaningful experience in a healthcare environment where accuracy, timeliness, documentation, and patient confidentiality are critical.</p><p>Strong candidates may come from backgrounds such as:</p><ul><li>Radiology reporting coordinator</li><li>Imaging center operations coordinator</li><li>Cardiology practice coordinator</li><li>Medical records specialist</li><li>Health information management specialist</li><li>Prior authorization or appeals specialist</li><li>Clinical documentation coordinator</li><li>Physician practice operations specialist</li><li>Medical assistant with strong administrative and documentation experience</li><li>PACS/RIS or imaging workflow support specialist</li></ul><p>This role is best suited for someone who is highly reliable, detail-driven, comfortable with medical terminology, and able to manage multiple moving parts in a fast-paced clinical operations environment.</p><p><b>Schedule and Work Environment</b></p><ul><li>Full-time position.</li><li>Hybrid schedule: three days per week in office and two days per week remote.</li><li>Standard business hours, with occasional flexibility required based on reporting volume or urgent provider needs.</li><li>Office-based collaboration with clinical operations, reporting, provider relations, billing, authorization, and medical leadership teams.</li></ul><p><b>Compensation and Benefits</b></p><ul><li>Annual salary range: $55,000&ndash;$65,000, based on experience and qualifications.</li><li>Health insurance.</li><li>Paid time off.</li><li>401(k) with company match.</li><li>Additional benefits available based on company policy.</li></ul><p><b>Why Join Corazon Imaging</b></p><p>Corazon Imaging is at the forefront of outpatient coronary CTA and advanced cardiac imaging. This role offers the opportunity to be part of a growing national organization that is improving access to high-quality cardiac imaging and supporting physicians in the early detection of coronary artery disease.</p><p>The Cardiac CT Reporting Operations Specialist will play a key role in ensuring that providers receive accurate, complete, and timely reports that directly support patient care.</p><p>Pay: $55,000.00 - $65,000.00 per year</p><p>Benefits:</p><ul><li>401(k) matching</li><li>Dental insurance</li><li>Flexible schedule</li><li>Health insurance</li><li>Paid time off</li></ul><p>Work Location: Hybrid remote in Southfield, MI 48076</p>

Cardiac CT Reporting Operations Specialist

Genesis PrimeCare

<p></p><div><div><p><b>Billing Specialist</b></p><p><b>
Position Overview</b></p><p>
The <b>Billing Specialist</b> plays an essential role in ensuring accurate and timely medical billing processes within the organization. This position is responsible for reviewing and submitting claims, researching and resolving claim denials, verifying correct payments, and following up with insurance companies to secure proper reimbursement. The Billing Specialist works closely with patients, clinic staff, and insurance representatives to address billing inquiries, resolve discrepancies, and maintain smooth revenue cycle operations.</p><p>
This role requires attention to detail, strong communication skills, and adherence to confidentiality and regulatory guidelines, including HIPAA. The Billing Specialist supports the Billing Coordinator and leadership team by preparing reports, processing payments, and participating in ongoing education to stay current with billing practices and regulations.</p><p><b>
Qualifications</b></p><p><b>
Required:</b></p><ul><li>
High School Diploma or General Education Degree (GED)</li></ul><p><b>
Preferred:</b></p><ul><li>
One (1) year of experience in medical billing/collections.</li></ul><p><b>
Benefits</b></p><p>
At Genesis PrimeCare, we value our team members and offer a comprehensive benefits package, including:</p><ul><li>
Competitive pay</li><li>
Medical, dental, and vision insurance</li><li>
Paid time off (PTO) and holidays</li><li>
403(b) Retirement savings plan</li><li>
Incentive &amp; merit compensation programs</li></ul><p><b>
Who We Are</b></p><ul><li>
At <b>Genesis PrimeCare</b>, our mission is to positively impact the health and well-being of the communities we serve. As a <b>non-profit, Federally Qualified Health Center (FQHC)</b>, we are committed to being the <b>primary source for our patients&rsquo; healthcare needs</b>&mdash;from birth through geriatric care.</li><li>
Our vision is to establish Genesis PrimeCare as both a <b>healthcare provider and employer of choice</b>, upholding our uncompromising values of professionalism, responsibility, and excellence in every service we provide. With a patient-centered focus, we strive to deliver quality, accessible care that truly makes a difference in the lives of those we serve.</li></ul></div><br>
Monday - Friday 8:00am - 4:30pm</div>

Billing Specialist

GSSTech Group

<div><p>We looking for a talented and experienced Service Renewals Specialist (UAE National) who will be working in our client's Service Operations Team and taking care of commercial and administrative tasks related to information security services. The Service Renewals Specialist creates, documents and processes service contract and ensures timely renewal of these contracts. The role works closely with the Business Development team and prepares / provides all information required for contracts closing and renewal. The position is responsible for identifying upselling and cross selling opportunities in existing business contracts. The Service Operations Specialist takes care of the contract assets and keeps information up to date at any time.</p>
Job requirements<p><b>
Responsibilities</b></p><ul><li>
Assist contract renewals and service contracts opportunities.</li><li>
Support Business Development Manager in renewals and service business.</li><li>
Maintain customer, asset and contract information.</li><li>
Assist in getting quotations from vendors/suppliers.</li><li>
Assist in proposals and contract drafts for customers.</li><li>
Follow up with vendors for price quotes for renewal.</li><li>
Follow up task to be handled on behalf of other BDM.</li><li>
Create asset list on SharePoint for our customers.</li><li>
Answer business phone calls</li></ul><p></p><p><b>
Qualifications &amp; Skills</b></p><ul><li>
Graduate in Business administration or finance or accounting or logistics and procurement.</li><li>
1-5 years of experience in IT industry</li><li>
Experience working with IT distributors and vendors.</li><li>
Basic computer skills</li><li>
Excellent Microsoft office skills.</li><li>
Calculation skills - dealing with renewal figures.</li><li>
Arabic reading and writing skill will be added advantage.</li><li>
Fast learner.</li><li>
Self-motivation and eagerness to learn.</li><li>
Good vision, creativity and problem-solving skills.</li><li>
Team player.</li><li>
Organized and structured way of working.</li></ul><p></p><p><b>
Benefits</b></p><ul><li>
Health insurance with one of the leading global providers for medical insurance.</li><li>
Career progression and growth through challenging projects and work.</li><li>
Employee engagement and wellness campaigns activities throughout the year.</li><li>
Excellent learning and development opportunities.</li><li>
Inclusive and diverse working environment.</li><li>
Flexible/Hybrid working environment.</li><li>
Open door policy.</li></ul></div><p></p>

Service Renewals Specialist (UAE National)

Etihad Rail Operating Companies

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  <strong>
   We&rsquo;re Hiring: Senior Procurement Specialist
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  We are expanding our Procurement team and looking for experienced professionals to support multiple strategic categories across infrastructure, operations, and corporate services.
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  <strong>
   Categories in Scope:
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   <strong>
    Permanent Way &amp; Reliability:
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   Track, civil infrastructure, yellow plant, asset reliability &amp; maintenance, logistics.
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    Systems, Facilities &amp; Operations:
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   Signalling, telecom, power systems, depots, network operations, service design.
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    Freight Operations &amp; Maintenance:
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   Terminals, rolling stock maintenance, heavy equipment, freight asset performance.
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    Mobility &amp; Passenger Services:
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   Stations, passenger trains, ticketing, AFC systems, onboard services, mobility support.
  </li>
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   <strong>
    Corporate Operations &amp; Services:
   </strong>
   HR, training, HSEQ, admin, insurance, finance, legal.
  </li>
 </ul>
 <p>
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 </p>
 <p>
  <strong>
   Role Overview:
  </strong>
 </p>
 <p>
  As a Senior Procurement Specialist, you will lead complex sourcing initiatives, execute category strategies, and drive supplier performance, cost optimization, and risk management. You will also deliver procurement analytics and insights, support process improvements, and act as a delegate to the Procurement Manager when required.
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  <br/>
 </p>
 <p>
  <strong>
   What We&rsquo;re Looking For:
  </strong>
 </p>
 <ul>
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   10+ years of procurement experience in infrastructure, rail, facilities, corporate services, or related sectors.
  </li>
  <li>
   Proven experience managing high-value, complex contracts within one or more of the above categories.
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  <li>
   Bachelor&rsquo;s or Master&rsquo;s degree in Engineering (Industrial, Mechanical, Electrical, or similar) or Supply Chain Management, with relevance to systems, infrastructure, or industrial procurement.
  </li>
  <li>
   Strong expertise in strategic sourcing, supplier management, and risk mitigation.
  </li>
  <li>
   CIPS/MCIPS, CPSM, or equivalent certification preferred.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  Join a high-impact environment supporting critical infrastructure and corporate operations at scale.
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  <strong>
   Apply now or reach out to learn more.
  </strong>
 </p>
</div>


Senior Procurement Specialist

EAGLES EIGHT ELEVEN LLC

<div><div><div><b>Benefits:</b></div>
<ul><li>Nine Paid Holidays</li>
<li>Competitive salary</li>
<li>Health insurance</li>
<li>Paid time off</li>
<li>Training &amp; development</li>
</ul></div><div><div><b>Accounting Specialist</b><br>
</div><div><b>Position Summary</b><br>
</div><div><b>We are seeking an experienced, detail-oriented Accounting Specialist to be responsible for managing daily accounting operations, financial reporting, accounts receivables/payables, and month-end closing processes. This successful candidate will have the duties of ensuring accurate financial records, managing reporting processes, monitoring profitability, and supporting company leadership with financial analysis and operational accounting functions.</b><br>
</div><div><b>Key Responsibilities</b><br>
</div><ul><li><b>Manage daily accounting operations including Accounts Receivable, Accounts Payable, and General Ledger activities</b></li>
<li><b>Reconcile bank accounts and maintain accurate financial records</b></li>
<li><b>Enter and process invoices, payments, deposits, and customer account activity</b></li>
<li><b>Monitor and collect past due accounts and maintain Accounts Receivable aging reports</b></li>
<li><b>Review daily sales and profitability reports to investigate discrepancies and margin variances</b></li>
<li><b>Prepare weekly and monthly financial reports for management</b></li>
<li><b>Oversee month-end and year-end closing processes in Sage</b></li>
<li><b>Prepare reports and documentation for CPA review and tax reporting</b></li>
<li><b>Maintain customer account setup and financial data accuracy</b></li>
<li><b>Ensure timely processing of recurring invoices, payments, and reconciliations</b></li>
<li><b>Support inventory, fuel surcharge, and operational reporting processes</b></li>
<li><b>Assist with compliance reporting including 1099s, sales tax, and unclaimed property filings</b></li>
</ul><div><b>Qualifications</b><br>
</div><ul><li><b>Associate&rsquo;s Degree in Accounting, Finance, Business, or a related field</b></li>
<li><b>3+ years of experience in accounting or bookkeeping</b></li>
<li><b>Extensive work with generally accepted accounting principles (GAAP)</b></li>
<li><b>Strong knowledge of Accounts Receivable, Accounts Payable, and financial reporting</b></li>
<li><b>Experience with Sage 100 ERP systems preferred</b></li>
<li><b>Advanced Excel and spreadsheet skills</b></li>
<li><b>Excellent organizational, analytical, and problem-solving abilities</b></li>
<li><b>Attention to detail with strong communication and time management skills</b></li>
<li><b>Experience working in a small to mid-sized company environment</b></li></ul><div><br>
<b>
</b><br>
<br>
</div><div><b>Benefits</b><br>
</div><div><b>Competitive Salary</b></div>
<div><b>Nine Paid Holidays</b></div>
<div><b>Paid Vacation and Sick Leave</b></div>
<div><b>Health Insurance</b></div>
<div><b>Stable, established company with long-term employees</b></div>
<div><b>Opportunity to make a meaningful contribution in a key accounting role</b><br>
</div><div><b>About Us</b><br>
</div><div><b>We are a well-established food distribution company serving the Dallas-Fort Worth market for over 54 years with approximately $8 million in annual revenue. We are seeking a dependable and detail-oriented Accounting Specialist to join our team and assume responsibilities from a long-term employee who is retiring after seven years with the company. This position is ideal for an accounting specialist who enjoys working in a small business environment where accuracy, accountability, and organization are highly valued.</b><br>
</div><div><b>To Apply</b><br>
</div><ul><li><b>Please submit your resume along with a brief summary of your accounting experience, including any work with Sage 100 or other ERP systems, month-end closing, and financial reporting.</b></li></ul></div></div><div></div>

ACCOUNTING SPECIALIST

CareMed Specialty Pharmacy

<div><div><div><div><b>Are you someone looking for professional career growth? </b>CareMed Pharmacy is looking for <b>Pharmacy Benefit Verification Specialists</b> for our growing Pharmacy!</div>
<div></div><div><div><b>Work Hours: Monday-Friday shifts available; some weekends as needed. </b>This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.</div>
</div>
<div></div><div><div><b>**Starting salary at $24.00/hr and up** </b>We also offer quarterly incentive bonuses.</div>
<div></div><div><b>Sign-On Bonus: </b>$5,000 for employees starting before July 31, 2026.</div>
<div></div><div><div>We offer a variety of benefits including:</div>
<ul><li>Medical, Dental &amp; Vision insurance</li>
<li>401k with a match</li>
<li>Paid Time Off and Paid Holidays</li>
<li>Tuition Reimbursement</li>
<li>Paid Volunteer Day</li>
<li>Floating Holiday</li>
<li>Referral Incentive</li>
<li>Paid Life, and short &amp; long-term disability insurance</li>
</ul>
</div><div></div><div><div><div><b>Pharmacy </b><b>Benefit Verification </b><b>Specialist Summary:</b></div>
<div>The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs. They will ensure accurate benefit documentation is made for all prescription orders.</div>
<div></div><div><b>Pharmacy </b><b>Benefit Verification</b><b> Specialist Major Responsibilities:</b></div>
<ul><li>Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.</li>
<li>Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information.</li>
<li>Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.</li>
<li>Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile.</li>
<li>Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy.</li>
<li>Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims.</li>
<li>Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws</li>
<li>Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.</li>
<li>Conducts job responsibilities in accordance with the standards set out in the Company&rsquo;s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.</li>
</ul></div><div><b>Pharmacy </b><b>Benefit Verification</b><b> Specialist Qualifications:</b></div>
</div><ul><li>Education/Learning Experience
<ul><li>Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification</li>
<li>Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience</li>
</ul></li><li>Work Experience
<ul><li>Required: 1+ years pharmacy or benefit verification experience</li>
<li>Desired: 3+ years pharmacy or benefit verification experience</li>
</ul></li><li>Skills/Knowledge:
<ul><li>Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.</li>
</ul></li><li>Behavior Competencies
<ul><li>Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skill</li>
</ul></li></ul><div>Here at CareMed, our patients are important to us, so we always strive to meet and exceed their needs. We are seeking <b>Pharmacy Benefit Verification Specialist</b>s who go above and beyond for our patients, and also passionate about helping others.</div></div></div></div></div>

Pharmacy Benefit Verification Specialist

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