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Yale New Haven Health - Northeast Medical Group

Trumbull, Connecticut

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BANNER UNIVERSITY MEDICAL CENTER - TUCSON (BUMC-T)

Tucson, Arizona

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NHPCO

Alexandria, Virginia

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MI Pharmacy - Kroger Stores - Pharmacy

Flint, Michigan

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CVS Health

Denver, Iowa

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CVS Health

Tukwila, Washington

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Kaiser Permanente - Washington Permanente Medical Group

Tacoma, Washington

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Veterans Affairs, Veterans Health Administration

Salem, Virginia

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Southcentral Foundation

Wasilla , Alaska

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CVS Health

Henderson, Kentucky

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MI Pharmacy - Kroger Stores - Pharmacy

Lansing, Michigan

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Portland, Oregon

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AdventHealth

Maitland, Florida

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Kaiser Permanente - Washington Permanente Medical Group

Puyallup, Washington

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Summit Health

Nationwide

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CVS Health

Portland, Oregon

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Richmond, Virginia

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Oklahoma City, Oklahoma

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Portland, Oregon

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Baylor Scott & White Health

Fort Worth, Texas

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Baptist Health

Jacksonville, Florida

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Kaiser Permanente - Washington Permanente Medical Group

Seattle, Washington

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Southcentral Foundation

Anchorage , Alaska

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CareMount Medical

Yorktown Heights, New York

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Pharmacy Billing Adjudicator
Job DescriptionAs the Pharmacy Billing Adjudicator for our Long Term Care business, you will be responsible for preparing and submitting claims for accounts. You will work directly with nursing facility staff, physician offices, and insurance companies to ensure timely payment of online claim submissions. You will also be responsible for reviewing and researching rejected third party claims, and problem solving to take appropriate action to resolve them.Additional key responsibilities include:- Working a backlog of rejected claims for timely resubmission- Managing your assigned queues to keep current on all claims- Clearing the workflow grid daily in order to meet productivity criteria- Handling specific denials including new patient overrides- Follo


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