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Description:

Weekly breakdown:

25-30 hours of billing and claims

10-15 hours of pharmacy order entry

Duties:

Contact facilities for prior authorizations

Review patient discharge information

Post-consumption billing

Data entry of resident insurance information

Review resident fact sheets and make corrections if necessary

Verify and change any financial pay statuses

Provide customer service and problem resolution to assigned facilities

Identify errors that caused claim denial daily

Re-bill claims as needed

Assist in overall automation of billing procedures

End of month bill process

Visit clients to go over monthly billing statement

Claim adjudication

Software:

QS1 / Framework

Skills:

billing specialist, Pharmacy, pharmacy technician, Medical billing, claim adjudication, prior authorization, Claim, claim processing

Additional Skills & Qualifications:

Will assist in centralized billing of all claims.

Must be pharmacy technician licensed

Will work in Pharmacy Tech Data Entry group 40% of the time, when billing tasks are complete

Claim adjudication

Prior authorizations

Long term care pharmacy experience is a must-have

Experience Level:

Intermediate Level

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent

• Maintaining an inclusive environment through persistent self-reflection

• Building a culture of care, engagement, and recognition with clear outcomes

• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.