Life Tree is looking for a Pharmacy Claims Adjudicator for its corporate facility in Collegeville, PA.
About Us :
Please make sure you read the following details carefully before making any applications.
Life Tree Pharmacy is a for-profit subsidiary of Merakey and works with a wide range of facilities and programs to support individuals in the Behavioral Health and Intellectual and Developmental Disability communities.
About the Position :
Experience in dealing with third-party insurance carriers, verbally and electronically to achieve the best possible prescription drug regime for our consumers.
- To request follow-up and obtain prior authorizations from insurance carriers when applicable.
- Answers incoming calls, directs to Pharmacist, when appropriate, such as new prescriptions, questions about medication, judgmental decision, etc.
- Completes and processes third-party documents.
- Also performs Pharmacy Technician responsibilities when deemed necessary by his / her supervisor.
Benefits :
Merakey offers medical, dental - vision insurance plans, competitive compensation plans and more!
- DailyPay enrollment option
- Work / Life Balance
- Flexible Schedules
- Cell Phone Discount Plans
- Employee Referral Bonuses
- Tuition Reimbursement
- Care.com Membership
About Merakey :
Merakey is a non-profit provider of developmental, behavioral health, and education services. More than 8,000 employees provide support to nearly 40,000 individuals and families throughout 12 states across the country each year.
Click here to watch a video about Merakey.
Merakey strictly follows a zero-tolerance policy for abuse.
Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status.
Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply.
Merakey welcomes all Veterans to apply!
Minimum Qualifications :
- Pharmacy and data entry and adjudication preferred.
- Proficient computer entry experience necessary with a good understanding of medical abbreviations and drug knowledge.
- Ability to read and interpret documents such as prescriptions, Physician Order, safety rules, operating and maintenance instructions and procedure manuals.
- To perform this job successfully, an individual should have knowledge of Frameworks LTC and Docutrack.
Equal Opportunity Employer Minorities / Women / Protected Veterans / Disabled
J-18808-Ljbffr
Adjudication and Billing Coordinator
Life Tree Pharmacy is a for-profit subsidiary of Merakey and works with a wide range of facilities and programs to support individuals in the Behavioral Health and Intellectual and Developmental Disability communities. Pharmacy and data entry and adjudication preferred. Ability to read and interpret...
Medical Billing Specialist
Previous medical billing experience is a requirement for this position. Must have an Associate's Degree in medical billing and/or 5+ years of proven experience in a similar role. In-depth knowledge of medical billing, coding, claims processing and collections. Proficient in using Microsoft Office (W...
Medical Biller
As a Medical & Dental Biller, you will be working closely with patients, front desk staff and physicians to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from patients and referring dentists. You will also ...
Billing Data Entry Specialist
Our Disaster Recovery Client is seeking Billing Data Entry Specialists to sit in Exton, PA, to assist with the increase in invoices from the devastation caused by the hurricanes. ...
Remote Administrative Assistant (No Experience Required) - Earn $25/hr-$45/hr, Full-Time/Part-Time, Flexible hours
...
Executive Administrative Assistant
The Senior (Sr) Executive (Exec) Administrative (Admin) Assistant must be creative and enjoy working within a environment that is mission-driven, results-driven and community oriented. Exec Admin Assistant to executive leadership serves as the primary point of contact for internal and external const...
Administrative Assistant
What we are looking for We are looking for an Administrative Assistant who will be an integral part of the administrative support team for AscellaHealth. Minimum of 2 years of experience as an Administrative Assistant or similar title, role, or capacity. This position will work very closely with the...
Construction Project Coordinator
Project Transition is looking for a Construction Project Coordinator to join our team. Due to growth, we are in need of a Construction Project Coordinator to assist in building projects. The Construction Project Coordinator will play a crucial role in supporting the successful completion of construc...
Accounts Receivable Specialist - REMOTE
Accounts Receivable Specialist. Identifies uncollectible accounts and performs accurate and timely write-offs () adhering to IPM CBO policy guidelines. Documents all actions taken on accounts worked according to the department policy to ensure clear understanding of encounter status. As a last resor...
Revenue Cycle Specialist / Billing Specialist
The Revenue Cycle Specialist works within the billing arm of the Revenue Cycle team, satisfying the following tasks and requirements with the responsibility of understanding and working Accounts Receivable for assigned programs to payment and completion. This includes pre and post AR review, follow ...