Claims Specialist

Job Summary

A company is looking for a Claims Specialist to manage and resolve pharmacy claims efficiently in a remote environment.

Key Responsibilities

• Manage and identify rejected pharmacy claims to ensure maximum payer reimbursement
• Research and resolve rejected claims by collaborating with Medicare D plans and insurance companies
• Prepare and maintain reports and records for processing claims

Required Qualifications

• High School Diploma or GED required; Associate's or Bachelor's Degree desired
• Customer service experience required; up to one year of related experience preferred
• Ability to retain and apply large amounts of information in a fast-paced environment
• Basic math aptitude and proficiency in Microsoft Office Suite required
• Pharmacy technician certification is desired but not required