Pharmacy Claims Representative 2 – Patient Financial Services

Job not on LinkedIn

🔥 3 hours ago

🌵 Arizona, Ohio – Remote

🌵 Arizona – Remote 🏈 Ohio – Remote

💵 $40k - $52.3k / year

⏰ Full Time

🟢 Junior

📋 Claims Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

CenterWell Senior Primary Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

CenterWell Senior Primary Care is a healthcare provider focused on delivering personalized primary care to senior citizens. The company emphasizes a comprehensive and holistic approach to healthcare, addressing the physical, social, and emotional needs of older adults. As part of its service offerings, CenterWell includes home health services and pharmacy support to complement its senior primary care. The organization is committed to offering stability, inclusive benefits, and career growth opportunities for its employees while maintaining a culture of mutual respect and mindfulness. CenterWell is a brand under the larger healthcare entity, Humana.

📋 Description

• Adjudicate pharmacy claims and process pharmacy claims for payment • Analyze and answer inquiries regarding pharmacy claims adjudication, including payment method, co-pay or deductible amounts, and reasons for denial • Analyze data and provide financial support • Develop relationships with foundations and manufacturers • Provide internal customer support for the entire Pharmacy • Source patient assistance programs and/or foundations to help patients meet out-of-pocket responsibility • Take inbound and make outbound calls related to patient assistance programs, billing inquiries, and insurance verification • Provide internal and external customer service • Document case files with complete notes • Complete special projects with varied and complex components

🎯 Requirements

• 1 or more years of customer service experience handling both incoming and outgoing phone calls in a professional setting • Comprehensive knowledge of Microsoft Products including Word, Excel and Outlook • Intermediate to High level of Windows Based system navigation • Ability to work an 8 hour shift between 8am and 8pm EST Monday-Friday • Overtime may be required during peak season • Internet service with minimum 25 Mbps download and 10 Mbps upload speed • Dedicated workspace without ongoing interruptions to protect member PHI / HIPAA information

🏖️ Benefits

• Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Other wellness and healthcare opportunities • Remote work arrangement • Occasional travel to Humana offices for training or meetings