Jobs in the United States

25+ jobs

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Added 6 hours ago
I
Medical Laboratory Technologist
IDEXX
Westminster, CO
- $30 USD / hour
…have a skillset in calibration, troubleshooting and performing quality control on automated laboratory analyzers and…
Added 6 hours ago
I
Medical Laboratory Technologist
IDEXX
Worthington, OH
- $30 USD / hour
…have a skillset in calibration, troubleshooting and performing quality control on automated laboratory analyzers and…
Added 9 hours ago
CI
Senior Lease Auditor
Colliers International
Louisville, KY
- $7.25 USD / hour
Provide quality control reviews of Lease Auditor's work and willing to assist with any disputes that were not addressed.
Added 10 hours ago
I
Medical Laboratory Technologist
IDEXX
Irvine, CA
- $30 USD / hour
…have a skillset in calibration, troubleshooting and performing quality control on automated laboratory analyzers and…
Added 10 hours ago
I
Medical Laboratory Technologist
IDEXX
Norcross, GA
- $30 USD / hour
…have a skillset in calibration, troubleshooting and performing quality control on automated laboratory analyzers and…
Added 10 hours ago
I
Medical Laboratory Technologist
IDEXX
Portland, OR
- $30 USD / hour
…have a skillset in calibration, troubleshooting and performing quality control on automated laboratory analyzers and…
Added 10 hours ago
I
Medical Laboratory Technologist
IDEXX
St Petersburg, FL
- $30 USD / hour
…have a skillset in calibration, troubleshooting and performing quality control on automated laboratory analyzers and…
Added 11 hours ago
Maintenance Technicians (2nd or 3rd Shift)
F&P America Mfg. Inc.
Troy, OH
…utilizes the most advanced processes to produce the highest quality Chassis Systems, Suspension Parts, Pedal Assemblies and more for the world leading automakers. We are seeking highly…
Added 11 hours ago
QC Lab Analyst
Avantor
Paris, KY · Paris
Avantor is looking for a Quality Control (QC) Lab Analyst to join our Quality Control Laboratory team. The Analyst will be responsible for testing of raw materials and finished products in…
Added 11 hours ago
Instrumentation / Electrical Technician
Hammond, IN
Perform/follow quality related practices (SPC, GMP, etc.).
Added 18 hours ago
I
Medical Laboratory Technologist
IDEXX
West Sacramento, CA
- $30 USD / hour
…have a skillset in calibration, troubleshooting and performing quality control on automated laboratory analyzers and…
Added 18 hours ago
I
Medical Laboratory Technologist
IDEXX
Dallas, TX
- $30 USD / hour
…have a skillset in calibration, troubleshooting and performing quality control on automated laboratory analyzers and…
Added 18 hours ago
I
Medical Laboratory Technologist
IDEXX
Elmhurst, IL
- $30 USD / hour
…have a skillset in calibration, troubleshooting and performing quality control on automated laboratory analyzers and…
Added 18 hours ago
I
Medical Laboratory Technologist
IDEXX
Glen Burnie, MD
- $30 USD / hour
…have a skillset in calibration, troubleshooting and performing quality control on automated laboratory analyzers and…
Added 18 hours ago
I
Medical Laboratory Technologist
IDEXX
Glen Burnie, MD
- $30 USD / hour
…have a skillset in calibration, troubleshooting and performing quality control on automated laboratory analyzers and…
Added 18 hours ago
3rd Shift Associate Production/Assembly Worker (H)
Munters
Daleville, VA
Job Title: 3rd Shift Associate Production/Assembly Worker
Added 19 hours ago
MEDICAL LAB SCIENTIST I OR MEDICAL LAB T
FROEDTERT
WEST BEND, WI
Added 19 hours ago
MEDICAL LAB TECH I, MENOMONEE FALLS HOSP
FROEDTERT
MENOMONEE FALLS, WI
Added 23 hours ago
EI
Warehouse Worker
Entegris, Inc.
Colorado Springs, CO
- $31,533 USD / year
The Role:Our Colorado Springs, Co site is seeking a 3rd shift Warehouse Associate to join our Warehouse team. This role is responsible for ensuring efficient, accurate, and safe movement of…
Added 1 day ago
LAB TECH 2
Huntington Ingalls Industries
Newport News, VA
…with company and regulatory policies and standards to meet quality and accuracy requirements. May analyze compounds and manage corporate compound collection. Performs technical procedures…
Added 1 day ago
Associate Production Scientist - 3rd Shi
MILLIPORESIGMA
MILWAUKEE, WI
Added 2 days ago
W
Quality Control-Optical Labs 3rd Shift (Sun-Thur 11pm-7am)
Walmart
CRAWFORDSVILLE, IN
- $19.6 to $22.1 USD / hour
An Optical Lab Associate ensures the quality and efficiency of optical lab operations by executing standardized procedures, performing inspections, and supporting continuous improvement…
Added 2 days ago
SW
Production Associate
Smurfit Westrock
Mishawaka, IN
- $20.2 USD / hour
Shift Differential: 2nd Shift - $0.60/hr, 3rd Shift - $0.60/hr
Added 2 days ago
W
Maintenance Mechanic
Whirlpool
Clyde
- $37.1 to $39.1 USD / hour
Shift Premium: $1.00 for 3rd shift and $1.25 for 2nd shift
Added 2 days ago
BH
Pharmacy Claims Processor / Remote
BrightSpring Health Services
Louisville, KY · LOUISVILLE, KY
- $7.25 USD / hour
Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and…

PharMerica

Claims Specialist / 3rd Party

Remote, United States

$21 to $23 USD / hour

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Job details

Pay: $21 to $23 USD / hour
Apply by: Oct 30, 2027
Education: High school diploma
Posting language: English
Posted: Oct 30, 2026

Original job description

Our Company

PharMerica

Overview

Step Into a Rewarding Role as a Claims Specialist with PharMerica!

Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly matters - delivering exceptional care and service.

Why Join PharMerica?

Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
Career Growth: We’re in high growth mode, offering plenty of opportunities for those looking to advance their careers.
Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!

What You’ll Do: As a dynamic Claims Specialist, you will:

Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
Be a vital part of a team that’s dedicated to enhancing patient care through meticulous claims management and customer service.

What We Offer:

DailyPay
Flexible Schedules
Competitive Pay with Shift Differentials
Health, Dental, Vision, and Life Insurance
Company-Paid Disability Insurance
Tuition Assistance & Reimbursement
Employee Discount Program
401k Plan
Paid Time Off
Non-Retail, Closed-Door Environment

Responsibilities

The Claims Specialist - 3rd Party:

Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
Works as a team to identify, document, communicate and resolve payer/billing trends and issues
Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
Prepares and maintains reports and records for processing
Performs other tasks as assigned

Qualifications

Education/Learning Experience:

Required: High School Diploma or GED
Desired: Associate’s or Bachelor’s Degree

Work Experience:

Required: Customer Service
Desired: Up to one year of related experience. Pharmacy Technician experience

Skills/Knowledge:

Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite
Desired: Knowledge of the insurance industry’s trends, directions, major issues, regulatory considerations and trendsetters

Licenses/Certifications:

Desired: Pharmacy technician, but not required

About our Line of Business PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn. Additional Job Information

This is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.

Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.

Salary Range USD $21.00 - $23.00 / Hour

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