JOB ID: MI17763
Job Title: Claims Examiner
Company: Job Chit Chat
Industry/Environment: Healthcare (Growing and successful company)
Claims reviewer for eligibility, accuracy, and completeness
Enter claim information into tracking system
Retrieve and submit monthly claims sample for auditing purposes
Proficient in Microsoft (Word, Excel, PowerPoint)
Salary: $16/Hour DOE
Hours: Full Time
Summary: Responsible for overseeing third-party payer contract adherence; providing comprehensive examination and process to ensure both pharmacy and payers comply with all contractual obligations.
Bachelor’s degree (B.A./B.S.), or a minimum of six years business and/or healthcare experience with three years working in pharmacy provider, pharmacy benefit management, or managed care fields.
Duties and Responsibilities include the following. Other duties may be assigned.
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