ProCare Rx Career

SUMMARYThe Client Support Specialist EDI Liaison will act as the liaison between the Client Services and Implementation Team with the Electronic Data Interchange (EDI) Team to ensure clients and their vendors are able to provide and receive electronic eligibility claims and accumulato

SUMMARYThe Client Support Specialist EDI Liaison will act as the liaison between the Client Services and Implementation Team with the Electronic Data Interchange (EDI) Team to ensure clients and their vendors are able to provide and receive electronic eligibility claims and accumulato

Essential Duties and Responsibilities Included but not limited to the following:Execute QA-related tasks and processes in the QA department.Run weekly reports to validate plan flags are set appropriately.Run billing reports to validate that all test claims have been reversed before th

Essential Duties and Responsibilities Included but not limited to the following:Execute QA-related tasks and processes in the QA department.Run weekly reports to validate plan flags are set appropriately.Run billing reports to validate that all test claims have been reversed before th

Location: Onsite in Gainesville GARegular Shift: 1:00PM 10:00PM (Training will be 9:00AM 6:00PM for the first weeks) Note: Weekend availability is required for one weekend day per weekJob Type: Full-Time Non-ExemptPay Rate: $15.50 per hourESSENTIAL DUTIES AND RESPONSIBLITIES include

Location: Onsite in Gainesville GARegular Shift: 1:00PM 10:00PM (Training will be 9:00AM 6:00PM for the first weeks) Note: Weekend availability is required for one weekend day per weekJob Type: Full-Time Non-ExemptPay Rate: $15.50 per hourESSENTIAL DUTIES AND RESPONSIBLITIES include

Responsibilities include but are not limited to: Manage implementation and business quality assurance team members.Direct complex integration and implementation projects while meeting critical milestones.Delegate tasks for primary benefit design set up for new plans and clients to imp

Responsibilities include but are not limited to: Manage implementation and business quality assurance team members.Direct complex integration and implementation projects while meeting critical milestones.Delegate tasks for primary benefit design set up for new plans and clients to imp

Key ResponsibilitiesAccounts ReceivableProcess customer invoices accurately and in a timely manner.Apply customer payments (checks ACH wire credit card) to the correct accounts and invoices.Prepare daily cash receipts and reconcile AR subledger to the general ledger.Monitor aging repo

Key ResponsibilitiesAccounts ReceivableProcess customer invoices accurately and in a timely manner.Apply customer payments (checks ACH wire credit card) to the correct accounts and invoices.Prepare daily cash receipts and reconcile AR subledger to the general ledger.Monitor aging repo

PRINCIPLE RESPONSIBILITIES include but are not limited to:Support multiple client program offeringsHandling general client inquiries service calls and problem resolution meeting EHIMs performance standardsEffectively communicate with multiple parties to complete tasks from beginning t

PRINCIPLE RESPONSIBILITIES include but are not limited to:Support multiple client program offeringsHandling general client inquiries service calls and problem resolution meeting EHIMs performance standardsEffectively communicate with multiple parties to complete tasks from beginning t

PRINCIPLE RESPONSIBILITIESProvide review and evaluation of utilization data for areas of improvement for both clinical impact and cost effectiveness of the pharmacy program for renewals.Analyze monthly claims data and provide client feedback to Client Services/Sales as needed.Ensure a

PRINCIPLE RESPONSIBILITIESProvide review and evaluation of utilization data for areas of improvement for both clinical impact and cost effectiveness of the pharmacy program for renewals.Analyze monthly claims data and provide client feedback to Client Services/Sales as needed.Ensure a

Locations: Miramar FLSchedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handle letters fro

Locations: Miramar FLSchedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handle letters fro

Location: Onsite - Gainesville GA Schedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handl

Location: Onsite - Gainesville GA Schedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handl

Location: Onsite - Gainesville GA Schedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handl

Location: Onsite - Gainesville GA Schedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handl

PRINCIPLE RESPONSIBILITIESAssist in designing and maintaining databases to support contract management and recordkeeping.Assist with administrative aspects and filings related to licensure and certification.Prepare documentation and reports related to business licensure and regulatory

PRINCIPLE RESPONSIBILITIESAssist in designing and maintaining databases to support contract management and recordkeeping.Assist with administrative aspects and filings related to licensure and certification.Prepare documentation and reports related to business licensure and regulatory

PRINCIPLE RESPONSIBILITIES (include but are not limited to):Invest a significant portion of time on the phone qualifying opportunities and traveling to meet with decision makers.Responsible for gathering the pertinent information for analyzing requests for proposals creating presentat

PRINCIPLE RESPONSIBILITIES (include but are not limited to):Invest a significant portion of time on the phone qualifying opportunities and traveling to meet with decision makers.Responsible for gathering the pertinent information for analyzing requests for proposals creating presentat

PRINCIPLE RESPONSIBILITIES (include but are not limited to):Analyze pharmacy claims data utilization to identify financial trends opportunities and potential risks including changes to profit margins.Work with Pharmacy Network to identify new contract requirements and methods to valid

PRINCIPLE RESPONSIBILITIES (include but are not limited to):Analyze pharmacy claims data utilization to identify financial trends opportunities and potential risks including changes to profit margins.Work with Pharmacy Network to identify new contract requirements and methods to valid

Duties include but are not limited to:Establish and maintain professional relationships with clients across multiple levels of client organizations while serving as the primary contact for selected clients and providing support of accounts (secondary) to the Strategic Account Manager.

Duties include but are not limited to:Establish and maintain professional relationships with clients across multiple levels of client organizations while serving as the primary contact for selected clients and providing support of accounts (secondary) to the Strategic Account Manager.

Primary Duties:Receive analyze and process assigned claims by product (medical dental vision FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations.Evaluate underpayments resolve non-payments and rejected claims. Follow through until the clai

Primary Duties:Receive analyze and process assigned claims by product (medical dental vision FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations.Evaluate underpayments resolve non-payments and rejected claims. Follow through until the clai

Duties include but are not limited to:Establish and maintain professional relationships with clients across multiple levels of client organizations while serving as the primary contact for selected clients and providing support of accounts (secondary) to the Strategic Account Manager.

Duties include but are not limited to:Establish and maintain professional relationships with clients across multiple levels of client organizations while serving as the primary contact for selected clients and providing support of accounts (secondary) to the Strategic Account Manager.

Primary Duties:Receive analyze and process assigned claims by product (medical dental vision FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations.Evaluate underpayments resolve non-payments and rejected claims. Follow through until the clai

Primary Duties:Receive analyze and process assigned claims by product (medical dental vision FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations.Evaluate underpayments resolve non-payments and rejected claims. Follow through until the clai

**This is an onsite position** You must be a Georgia Resident**PRINCIPLE RESPONSIBILITIES (include but are not limited to)â Manage a staff of up to 5 IT professionals. Includes performance management and employeedevelopment.â Support infrastructure of an online real-time transaction p

**This is an onsite position** You must be a Georgia Resident**PRINCIPLE RESPONSIBILITIES (include but are not limited to)â Manage a staff of up to 5 IT professionals. Includes performance management and employeedevelopment.â Support infrastructure of an online real-time transaction p

ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:ï Candidate must be able to logically evaluate claims for proper payment and make sure the desired benefits goals are met.ï Candidate must be willing to think outside box to provide solutions to complex

ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:ï Candidate must be able to logically evaluate claims for proper payment and make sure the desired benefits goals are met.ï Candidate must be willing to think outside box to provide solutions to complex

ESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:â Ensure pharmacy networks comply with state-specific pharmacy regulations and communicate the regulatory changes tointernal & external stakeholdersâ Assist with the implementation of new requirement

ESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:â Ensure pharmacy networks comply with state-specific pharmacy regulations and communicate the regulatory changes tointernal & external stakeholdersâ Assist with the implementation of new requirement