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Title

Claims Analyst 

Description

Tabula Rasa HealthCare is a family of companies that leverages technology to improve healthcare. TRHC works with providers and insurers to identify multi-drug interactions and to reduce risk of medication-related problems. We have developed the first multi-drug interaction tool that identifies risk across a variety of safety factors and presents meaningful opportunities to mitigate that risk. This technology can be used to assess safety at the individual patient-level or to stratify medication risk at the population-level, and can be embedded within any EMR or other healthcare IT system.

The Claims Analyst will perform a variety of duties to ensure the appropriate adjudication of pharmacy claims and provide support for various audits completed by payors and Pharmacy Benefit Manager (PBMs). Computerized software programs (Guardian, Excel, etc.) will be utilized to perform duties and responsibilities.

Major Duties and Responsibilities

  • Resolve issues with claims submitted by CK’s community pharmacy network.
  • Assist the call center with rejected claims.
  • Compile data needed to support audits by Part D and PBMs.
  • Assist the client development team with the set-up and implementation of new clients.
  • Process returned medications.
  • Work directly with PBMs to correct any claims submitted with errors.

 
Position Requirements

EDUCATION: H.S. degree or equivalent is required. Associates or Bachelor’s degree, preferably in financial field is preferred.

EXPERIENCE:

· 3-5 years of experience in LTC or medical billing

· Knowledgeable about Medicare and Medicaid billing

OTHER SKILLS and ABILITIES:

· Ability to communicate effectively and professionally through written, verbal, and interpersonal skills.

· Proficient with MS Office Suite.

· Detail oriented and savvy with mathematical calculations

· Strong analytical and problem solving skills.

· Comfortable to learn new and fully utilize new technology.

· High degree of ownership for projects, a sense of urgency and strong follow-through.

· Must be positive, friendly and professional.

 
Full-Time/Part-Time Full-Time  
Shift  
Position Claims Analyst  
Post Internal Days 0  
Number of Openings 1  
Location Tabula Rasa HealthCare, Inc. Moorestown  
About the Organization  
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.  

This position is currently not accepting applications.

To search for an open position, please go to http://TabulaRasaHealthcareInc.appone.com



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