POSITION SUMMARY
The PBM Associate is responsible for reviewing and processing prescription drug claims in our online platform to ensure accuracy, compliance with regulations, and proper submission in a timely manner. Key duties may include verifying patient information, checking prescription details, assessing coverage eligibility, resolving billing discrepancies, and communicating with pharmacies, healthcare providers, and insurance companies to resolve issues. Strong attention to detail, knowledge of pharmacy and healthcare regulations, proficiency in computer systems, and excellent communication skills are ideal for this role.
ESSENTIAL DUTIES AND RESPONSIBILITIES
EXPERIENCE, SKILLS AND EDUCATIONAL REQUIREMENTS
ADDITIONAL SKILLS AND REQUIREMENTS
Information contained in this description represents the general nature of work being performed. This is not an exhaustive list of all responsibilities, duties and skills required for the position. Reasonable accommodations will be considered in appropriate circumstances; however, as the nature of an accommodation may vary depending on the needs and desires of an individual with a disability, it is impossible to describe in advance specific accommodations that will be considered.
NOTE: Company management reserves the right to amend and revise responsibilities to meet business and organizational needs.
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