Ohio Licensed Pre-Payment Claims AnalystVirtualVocations • Charleston, South Carolina, United States
Ohio Licensed Pre-Payment Claims Analyst
VirtualVocations • Charleston, South Carolina, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Pre-Payment Claims Analyst to analyze pharmacy claim data and identify overpayments.
Key Responsibilities
Research and analyze pre-payment pharmacy claim data to identify overpayments and errors
Develop and update educational materials, workflows, and operational reports
Review and audit pharmacy claims for accuracy and compliance, and resolve related concerns
Required Qualifications, Training, and Education
National Pharmacy Technician Certification (CPhT) required
Bachelor's or Master's degree in a related field preferred, or equivalent work experience
Minimum of 2 years of experience in claim analytics or related healthcare fields
Proficient in Microsoft Office, especially Excel and Access
Working knowledge of pharmacy claims payment processes and systems
serp_jobs.job_alerts.create_a_job
Claim • Charleston, South Carolina, United States
Job_description.internal_linking.related_jobs
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_more
South Carolina Federal Credit Union is currently seeking an Employee Relations Specialist to join our team of outstanding professionals in North Charleston, SC.
Duties include but are not limited to...serp_jobs.internal_linking.show_more
Underwriting Specialist Opportunity.Are you an expert in underwriting complex, high-value risks? Looking for an exciting, stable opportunity to apply your wealth of experience in the High Net Worth...serp_jobs.internal_linking.show_more
Scientific Research Corporation is seeking a qualified Information System Security Officer (ISSO) to support Department of Defense (DoD) cybersecurity initiatives.
The ISSO will play a critical role...serp_jobs.internal_linking.show_more
Determine covered medical insurance benefits in accordance with the provisions of the plan document.Document medical claims processes by completing forms, reports, logs and records.Resolve medical ...serp_jobs.internal_linking.show_more
Position Summary : Protects company assets from internal and external theft.Observes and reports potential safety and security hazards.
For additional information about pay ranges, click here.We offe...serp_jobs.internal_linking.show_more
Subscriber Management Analyst Charleston, SC Minimum Secret Clearance Required As a Subscriber Engagement Analyst, you will correspond with all Subscribers to ensure timely documentation, complianc...serp_jobs.internal_linking.show_more
Southeast Regional Route Driver.Run this Southeast Regional route and get home weekly time, no touch freight and great pay.
Expect $1100 average weekly pay and around 1800 miles a week.Drive in 2021...serp_jobs.internal_linking.show_more
Entry-Level Seasonal Tax Preparer.Join our team as an Entry-Level Seasonal Tax Preparer.You will conduct one-on-one tax interviews with clients, start to develop your book of business, and provide ...serp_jobs.internal_linking.show_more
The SouthState story is one of steady growth, deep community roots, and an unwavering commitment to helping our customers move forward.
Since our beginnings in the 1930s to becoming a trusted financ...serp_jobs.internal_linking.show_more
Health Insurance Billing Follow Up Specialist.Best Call Centers to Work For" 4 years in a row!! 2018-2023!.Hear what employees are saying about.
I've always felt valued as an employee while maintain...serp_jobs.internal_linking.show_more The SouthState story is one of steady growth, deep community roots, and an unwavering commitment to helping our customers move forward.
Since our beginnings in the 1930s to becoming a trusted financ...serp_jobs.internal_linking.show_more 
The MIL Corporation is looking for a Business Analyst to work with a Federal Government client in Charleston, SC.The Analyst will support the Government Travel Charge Card Program (TCP) and provide...serp_jobs.internal_linking.show_more Join our team for an exciting opportunity that offers.Leverage your tax expertise, business background, and knowledge of tax laws to propel you to the next level.
You will provide exceptional client...serp_jobs.internal_linking.show_more 
The Special Investigations Unit (SIU) Investigator is responsible to conduct timely and thorough health care fraud investigations on behalf of the Company.
Investigations are confidential and are co...serp_jobs.internal_linking.show_more
The MIL Corporation is looking for a Business Analysis, Analyst to work with a Federal Government client in Charleston, SC.
The Analyst will support the Government Travel Charge Card Program (TCP) a...serp_jobs.internal_linking.show_more
HealthMarkets Overview Job Description : .If you’re looking for an exciting opportunity where you can change people’s lives and achieve financial success as an independent licensed insura...serp_jobs.internal_linking.show_more The Revenue Integrity Analyst will perform internal quality assessment claim reviews to ensure compliance with federal, payer and internal Revenue Cycle policies to ensure complete, accurate and co...serp_jobs.internal_linking.show_more 
Sonepar Management Group (SMG) supports our Sonepar brands (i.US through a shared services model.These services include, but are not limited to : human resources, finance, digital enterprise, supply...serp_jobs.internal_linking.show_more
Time freedom, uncapped income, and a team that actually has your back.Join our incredible culture of experienced agents ready to help you take the next step! 🐘 Peterson Life & Wealth is...serp_jobs.internal_linking.show_more
Tax Preparer - 2+ Yrs Paid Tax Experience Required
Intuit • ISLE OF PALMS, SC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Employee Relations Specialist
South Carolina Federal Credit Union • North Charleston, SC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Underwriting Specialist - Florida
PURE Insurance • Charleston, SC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Information Assurance (ISSO)
Scientific Research Corporation • North Charleston, SC, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Claims Processor I
Medical University of South Carolina • Charleston, SC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Loss Prevention Clerk
Costco Wholesale Corporation • Mount Pleasant, SC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Subscriber Management Analyst
Adapt Forward • North Charleston, SC, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_variable_days
Regional Truck Driver-CDL A
DriveLine Solutions • Summerville, SC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Entry Level Tax Preparer
Jackson Hewitt • Summerville, SC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Loan Insurance Escrow Specialist (Insurance Focused) - Charleston or McKinney Only
SouthState Bank • North Charleston, SC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Healthcare Billing / Insurance Follow Up Specialists - CHR
Credit Solutions LLC • Charleston, SC, USA
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30
Loan Insurance Escrow Specialist (Tax Focused) - Charleston or McKinney Only
SouthState Bank • North Charleston, SC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Business Analysis, Analyst
The MIL Corporation • Charleston, SC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Experienced Tax Preparer
Jackson Hewitt • North Charleston, SC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Senior Fraud Investigations Analyst - Medicare / Medicare Advantage Investigations
Blue Cross and Blue Shield of North Carolina • Charleston, SC, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Business Analysis, Analyst
Clearance Jobs • Charleston, SC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Insurance Agent
HealthMarkets Insurance Agency • Charleston, SC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Revenue Integrity Analyst
Medical University of South Carolina • Charleston, SC, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Sr Pricing Data Analyst
Sonepar USA • North Charleston, SC, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Life Insurance Broker (Remote) | Licensed and Unlicensed Welcome
Peterson Life & Wealth • Summerville, SC, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30