Payor Compliance Data Entry Specialist

🔥 0 minutes ago

🌵 Arizona, California, +15 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌪️ Kansas – Remote 🎰 Nevada – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $41.4k - $51.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⬇️ Data Entry

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Fuze Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

☁️ SaaS

💊 Pharmaceuticals

Healthcare • SaaS • Pharmaceuticals

Fuze Health is a technology-led healthcare company that provides integrated pharmacy solutions, clinical services, and data-driven software to healthcare organizations, payers, employers, and life sciences partners. Through its FuzeRx digital pharmacy, Fuze Services clinical programs, and Fuze Technologies platform, it delivers API-powered prescription fulfillment, telehealth, diagnostics and genomics, patient engagement, and analytics to improve access, adherence, early identification of conditions, and outcomes at scale.

📋 Description

• Evaluate claims dispensed below Fuze Rx's cost as part of the negative margin review cycle • Submit and monitor maximum allowable cost appeals sent to pharmacy benefit managers • Manage pharmacy billing support tasks and resolve related claims issues • Support the payor compliance audit program by compiling detailed documentation and progress tracking

🎯 Requirements

• Strong computer and organizational skills • Proficiency in Google Workspace, macOS, and database tools such as Looker • Proficient in spreadsheet navigation and data management • Advanced keyboard proficiency, including efficient use of keyboard shortcuts • Ability to simultaneously work on several projects and reprioritize quickly • Ability to work at a computer terminal with monitor, keyboard, and mouse for extended periods • Ability to stoop, bend, and reach for equipment and supplies • Ability to perform frequent repetitive wrist, hand, and finger motions • Ability to lift, carry, push, pull, and move light objects up to 20 pounds • Ability to communicate effectively through verbal interactions, discern auditory information, and visually perceive details • Applicants must be authorized to work for any employer in the U.S. • Applicants must reside in one of the following states: Arizona, Arkansas, California, Colorado, Florida, Kansas, Maryland, Missouri, Nevada, New Jersey, New York, North Carolina, Oregon, Pennsylvania, South Carolina, Tennessee, Washington, or Wisconsin

🏖️ Benefits

• Short-Term Assignment employees are eligible for legally required benefits, including paid sick time, workers’ compensation insurance and unemployment insurance • Company’s Minimum Essential Coverage (MEC) medical plan • Preventive care including annual checkups, screenings, immunizations, and prenatal care at no cost when services are provided by an in-network provider • Reasonable accommodation for qualified individuals with disabilities