Job Summary
A staffing agency needs applicants for an opening for a Telecommute Healthcare and Claims Payment Integrity Pharmacist in Atlanta.
Core Responsibilities Include:
- Assisting in ideation efforts and targeting new opportunities across all lines of business
- Working with data miners, clinical staff, and stakeholders to identify new overpayment issues
- Developing procedures and quality control measures for conducting project analytics,
Position Requirements Include:
- Licensed Pharmacist- Professional RPh./Pharm.D
- Bachelor’s degree
- 4+ years of healthcare reimbursement experience
- Demonstrated experience and knowledge of healthcare claims processing
- Experience in healthcare auditing, reviewing and validating the accuracy of claims data
- Experience applying published healthcare guidelines to healthcare claims data
