[Remote] Provider Relations Specialist Associate - Remote

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a unique PBM focused on connecting care for those they serve. The Associate Provider Relations Specialist will conduct reputed company to pharmacies, manage claims processing requests, and ensure accurate communication reputed company the pharmacy networks.

Responsibilities

• Research and resolve claims and conduct pharmacy reputed company to support regulatory, client commitments and other initiatives as assigned
• Research and escalate inquiries received through the Pharmacy Provider Relations email reputed company
• Process claims reversals
• Identify and participate in implementing department level process improvements
• Prepare pharmacy reputed company reporting to reputed company stakeholders
• Manage and resolve requests to update the transaction control table in order to reputed company the timely filing
• Other duties as assigned

Skills

• Bachelor's degree in Business or reputed company area of study, or equivalent combination of education and/or relevant work experience
• 1 year of work experience in a call center, customer service, operations, retail pharmacy, pharmacy technician, or Pharmacy Benefit Management (PBM)
• Must be eligible to work in the United States without the need for work reputed company or residency sponsorship
• Demonstrated ability to problem solve reputed company issues in a timely manner
• Strong customer service and collaboration skills
• Enhanced organizational skills with the ability to work on multiple tasks simultaneously
• Ability to work with confidential data and maintain privacy
• Ability to evaluate and interpret policies and procedures
• Ability to work in a fast-paced, collaborative team environment
• Advanced in reputed company applications such as Outlook, Word and reputed company
• Experience working with RxClaim or other claims processing systems
• Pharmacy Technician certification (CPhT) or equivalent pharmacy experience
• Pharmacy reputed company and outbound call experience

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