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Description The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for payment. The Senior Pharmacy Claims Professional work assignments involve moderately complex ... variable factors. Responsibilities The..
Description The Pharmacy Claim Professional 2 conducts reviews on pharmacy claims to assess for recoveries. The ... to assess for recoveries. The Pharmacy Claim Professional 2 work assignments are varied..
Description The Senior Pharmacy Claims Professional in the Pharmacy Claim Audit & Review department ... Audit & Review department adjudicates pharmacy claims and process pharmacy claims for payment. The Senior..
Description The Pharmacy Claims Professional 2 is responsible for the day ... and maintaining guidelines. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers inquiries regarding ... analyzes and answers..
Description The Humana Pharmacy Solutions traditional Desktop Audit team ... multiple aspects related to reviewing pharmacy claim submissions for accuracy and ... the tone and standard for pharmacy claim review...
Description The Pharmacy Claims Lead operationalizes and monitors Coordination ... Responsibilities Lead a team of Pharmacy Professionals responsible for production oversight ... testing of COB and subrogation pharmacy claim functions..
Description The Pharmacy Claim Professional 2 in the Pharmacy Claim Audit & Review (PCAR) ... (PCAR) team conducts reviews on pharmacy claims to assess for recoveries. The ... to assess..
Description The Pharmacy Claims Professional 2 analyzes and answers inquiries regarding ... analyzes and answers inquiries regarding pharmacy claims adjudication, including method of payment, ... Works closely with a senior..