DescriptionThe Pharmacy Claims Professional 2 analyzes and answers inquiries regarding pharmacy claims adjudication, including method of payment, co-pay or deductible amounts, and/or reason for denial. Works closely with a senior professional and understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
The Pharmacy Claims Professional 2 w ill work with pharmacies who have balances on previously paid claims. This is a highly impactful role in terms of financial recovery and pharmacy experience. You will make decisions on moderately complex to complex issues regarding technical approach for project components, and gain a broad base of claims knowledge. Enjoy a schedule that includes 4-days of Work-At-Home, and one day in the office per week, for meetings, etc. You will be able to exercise considerable latitude in determining objectives and approaches to assignments. Responsibilities include:
<<< The office is located in Louisville, KY, and you will need to work in-office one day per week. >>>
Scheduled Weekly Hours40