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Certified Pharmacy Technician

Arlington, TX

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Description

RemX is seeking an experienced Medicare D Billing Specialist for one of our great clients in Arlington, Texas.

Are you looking for a consistent schedule in a fun team environment then APPLY TODAY!

Essential Functions:

  • Act as a resource to the facilities in obtaining information completing necessary documentation or following up on outstanding claims.
  • Certified Pharmacy Technician with an understanding of Insurance and Medicaid formularies and processes including the prior authorization processes.
  • Makes outgoing calls to Facilities, Plans, and Physician’s offices as needed to obtain approvals
  • Works with Client Billing Service Offices, Pharmacy Directors, customers and prescription drug plans to effectively communicate and resolve customer issues.
  • Provide clinical support to members of the RxAllow team regarding prior authorization concerns.
  • Familiar with the claim adjudication process.
  • Develop a strong understanding of the insurance verification, adjudication, back-end billing process and become a subject matter expert on the insurance queues and billing workflow.

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Job Requirements

Qualifications:

Education/Learning Experience

Required: High School Diploma, Associates  Degree

Required: Certified Pharmacy Technician

Desired:   Bachelor’s Degree

Work Experience

Required:    Third Party Medical Billing Experience

Desired:    1-3 Years  Pharmacy Experience

Desired:    3 Years Call Center Experience

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