Accept calls and requests by providers and/or members/members representatives for pharmacy prior authorizations, exceptions, and appeals Enter authorizations and test claims into the pharmacy benefit system to ensure appropriate claim adjudication Perform system edits, data entry, and complete tracking logs Assist with departmental audits and quality improvement activities
Skills Pharmacy, Cpht, Call center, PTCB Top Skills Details Pharmacy,Cpht,Call center,PTCB Additional Skills & QualificationsEntry Level
Job Type & Location This is a Contract to Hire position based out of Chattanooga, TN. Pay And Benefits The pay range for this position is $24.00 - $24.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options....We are currently looking for a Remote Entry Level UI Developer. In this role, you will collaborate... ...Bachelor's or Master's degree in Computer Engineering, Computer Science,... ...or Statistics. Experience in Python programming and understanding of the software development...
...transform it into exceptional results. Job Description Job Summary: We are seeking enthusiastic and dedicated Event Staff to join our team for a variety of exciting events. As an integral part of our event production team, you will play a crucial role in...
...digital records, databases, and filing systems Perform accurate data entry and generate basic administrative reports Assist with... ...teams with task coordination and deadline tracking Conduct online research and prepare summaries as requested Communicate professionally...
...motivated, reliable individuals to work with a well-established... ...the flexibility of working from home. What Youll Do Speak with... ...is helpful but not required Training and licensing support provided What We Offer ~ Paid training with step-by-step guidance...
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