Pharmacy Claims Auditor

Job is Expired

Location: Remote

Compensation: To Be Discussed

Reviewed: Wed, May 21, 2025

Job Category: Healthcare

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College, Bachelors

Job Summary

A company is looking for a Pharmacy Claims Auditor - Remote.

Key Responsibilities

Validate claim documentation and systems data to ensure accurate processing in line with obligations
Solicit and review documentation from pharmacies to support claim submissions
Analyze pharmacy claims to identify errors and educate pharmacies on billing practices

Required Qualifications

Bachelor's degree in Health Science or related field, or equivalent education and experience; HS diploma or GED required
National Pharmacy Technician Certification through PTCB or ExCPT (CPhT)
2 years of experience in pharmacy or Pharmacy Benefit Management, including 1 year in operations, audit, or quality assurance
Must be eligible to work in the U.S. without visa or residency sponsorship

COMPLETE JOB DESCRIPTION

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Job is Expired

Company Overview

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