Remedi SeniorCare

Reject Specialist

US-OH-Euclid
Job ID
2017-1468
Functional Area
Billing

Overview

Remedi SeniorCare is one of the nation’s TOP TEN long term care pharmacies. We offer nursing homes and assisted-living facilities everything they need to provide better care to their residents by delivering highly responsive pharmacy solutions.

 

Our Pharmacy delivers life-saving medications to thousands of residents every day. Our team members enjoy state-of-the-art facility equipped with customer-inspired innovative technologies.

Remedi SeniorCare is currently looking for enthusiastic, motivated and talented individual to join its team.

Responsibilities

  • Monitor and resolve rejected claims appearing on pharmacy system Dashboard for assigned pharmacy
  • Become familiar with each pharmacy’s policies and procedures regarding claims management
  • Knowledge of third party policies and NCPDP standard for claim submission
  • Communicates with other departments on claim related matters.
  • Complies and enforces all company and departmental policies and procedures.
  • Complies with all applicable state and federal regulations related to pharmacy and claim billing practices.
  • Responsible with achieving department goals in volume, production, quality, customer service.
  • Direct claims to other departments for resolution as deemed necessary

Qualifications

  • High school diploma or GED equivalent.  
  • Proficient in Excel, Word and Outlook required, general knowledge and understanding of third party claim submission
  • Minimum of two years medical billing or third party claim submission desired. 
  • Previous LTC pharmacy billing preferred.
  • Must be able to communicate effectively both verbally and in writing.
  • Individual must have a strong internal and external customer service focus, and work as a team player.

 

Remedi SeniorCare is a great place to work! Our successful candidates will enjoy a comprehensive benefits and compensation plan along with the surroundings of our climate-controlled work site.

We serve people. Our focus is improving the quality of life for people who reside in long-term care facilities and the people who care for them. If you believe in our mission and values, and would like to be a part of a growing company at the forefront of providing revolutionary, high-tech long-term care pharmacy solutions, APPLY NOW!

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