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Pharmacy Benefit Verification Specialist at Onco360
Hartford, Connecticut, United States - Full Time
Skills Needed
Pharmacy Benefit Verification, Medical Billing, Insurance Coordination, Pbm Contracts, Medicare Knowledge, Medicaid Knowledge, Ncpdp Claim Resolution, Ndc Medication Billing, Pharmacy Terminology, Analytical Skills, Time Management, Interpersonal Communication
Specialization
Requires a high school diploma, a Pharmacy Technician license, and at least one year of experience in pharmacy or benefit verification. Proficiency in insurance contracts, Medicare/Medicaid, and pharmacy terminology is essential.
Experience Required
Minimum 2 year(s)
302WHA - Warehouse Associate at Spectra Metals Sales, Inc
Fenton, Missouri, United States - Full Time
Skills Needed
Forklift Operation, Inventory Management, Order Fulfillment, Shipping And Receiving, Material Handling, Cycle Counting, Warehouse Safety, Quality Control
Specialization
A high school diploma and at least one year of warehouse or manufacturing experience are preferred. Candidates must be able to lift up to 50 lbs and possess forklift experience or a willingness to be certified.
Administrator Merkel Texas at Siloam Hospitals Group
Fort Worth, Texas, United States - Full Time
Skills Needed
Facility Management, Regulatory Compliance, Budget Development, Census Management, Quality Assurance, Performance Improvement, Strategic Planning, Interdisciplinary Leadership, Occupancy Management, Survey Readiness
Specialization
Must possess a valid, unrestricted Nursing Home Administrator’s license in the state. Requires extensive knowledge of skilled nursing home regulations, laws, and guidelines pertaining to long-term care.
Experience Required
Minimum 5 year(s)
Board Operator/On-Air Personality (Part Time) at Connoisseur Media
Ridgeland, Mississippi, United States - Full Time
Skills Needed
Board Operation, Radio Automation, Fcc Regulations, Eas System, Audio Control, Broadcast Logging, On Air Personality, Transmitter Monitoring
Specialization
Candidates must be available to work Sundays from 6 AM to 1 PM and possess knowledge of FCC rules and EAS systems. Proficiency in running radio automation systems is required.
Server/Dietary Aide FULL TIME at Ignite Medical Resort McHenry
Dyer, Indiana, United States - Full Time
Skills Needed
Dietary Service, Hospitality, Compassionate Care, Dependability, Teamwork, Patient Care
Specialization
Candidates must be authorized to work in the United States. A clean background check and drug screen are required.
Delivery Driver 3710 ALL SHIFTS $$$ at DOMINOS PIZZA FRANCHISE
Greenfield, Massachusetts, United States - Full Time
Skills Needed
Driving, Delivery, Time Management, Customer Service, Navigation
Specialization
Candidates must be at least 18 years old with at least one year of driving history. A personal vehicle with proper delivery insurance is required.
Part Time Associate at The TJX Companies, Inc.
Gaylord, Michigan, United States - Full Time
Skills Needed
Customer Service, Communication, Organization, Multi Tasking, Cash Handling, Merchandising, Loss Prevention, Attention To Detail
Specialization
Candidates should possess excellent customer service and communication skills with the ability to work a flexible schedule. Physical capability to lift heavy objects and a preference for prior retail experience are desired.
ASSOCIATE TEACHER at GO KIDS INC
San Martin, California, United States - Full Time
Skills Needed
Child Supervision, Curriculum Planning, Classroom Management, Child Development, Communication Skills, Interpersonal Skills, First Aid, Cpr, Instructional Material Preparation, Behavioral Guidance
Specialization
Requires a high school diploma, 12 ECE units in core courses, and a valid Associate Teacher Child Center Permit. Candidates must possess a current CPR/First Aid certificate and a valid California Driver's License.
Executive - Customer Services, Non-T1 Service at SBIC External Career Site
, tamil nadu, India - Full Time
Skills Needed
Customer Service, Inbound Call Handling, Outbound Call Handling, Stakeholder Management, Problem Solving, Process Orientation, Detail Orientation, Cross Selling, Customer Retention, First Call Resolution, Csat, Sla Management
Specialization
Requires a graduate degree in any discipline with 1-2 years of overall and relevant domain experience. Candidates should possess strong customer service knowledge and competencies in problem-solving and stakeholder management.
EEG Technician - Epilepsy Center at Providence Health Care, Inc
Spokane, Washington, United States - Full Time
Skills Needed
Neurodiagnostic Studies, Eeg Performance, Patient Care, Clinical Eeg, Bls Certification
Specialization
Candidates must have the minimum education required for eligibility to register with the board of Registered Electroneurodiagnostic Technologists and hold a National Provider BLS certification. Experience in a clinical EEG role is preferred.
Assembler/Sequencer 2nd Shift - Full Time at Android/Avancez
Flint, Michigan, United States - Full Time
Skills Needed
Production Line Operation, Quality Testing, Warehouse Management, Material Handling, Safety Compliance, Multi Tasking, Teamwork, Equipment Operation
Specialization
Requires a high school diploma or equivalent and the ability to lift up to 40 pounds consistently. Previous experience in a manufacturing environment is considered a plus.
- RESPONSABLE FICHIER (H/F) at Groupement Les Mousquetaires
Contrexéville, Grand Est, France - Full Time
Skills Needed
Database Management, Data Analysis, Inventory Management, Mercalys Software, Attention To Detail, Synthesis Skills, Interpersonal Communication, Retail Operations
Specialization
Candidates should possess strong analytical and synthesis skills with a rigorous approach to daily tasks. Professional experience in the retail industry is preferred.
Experience Required
Minimum 2 year(s)
Home Health Physical Therapist - Telehealth at Sierra Home Health and Hospice
Las Cruces, New Mexico, United States - Full Time
Skills Needed
Patient Assessment, Care Planning, Clinical Documentation, Oasis, Patient Education, Case Management, Physical Therapy, Interdisciplinary Collaboration
Specialization
Must be a graduate of an accredited Physical Therapy program with current licensure in New Mexico. Requires a valid driver's license, reliable transportation, and strong communication skills.
Lead Instructor, Recreation at Snyderville Basin Special Recreation District
Park City, Utah, United States - Full Time
Skills Needed
Recreational Programming, Instruction, Coaching, Customer Service, Leadership, Conflict Management, First Aid, Cpr, Event Coordination, Staff Training, Marketing, Scheduling
Specialization
Candidates must be at least 21 years old with a high school diploma, a valid US driver's license, and CPR/First Aid certifications. Experience in coaching, teaching, or programming camps and athletics is preferred.
BMW Lease Return Inspector at Finchey Corp dba Pacific BMW
Glendale, California, United States - Full Time
Skills Needed
Vehicle Inspection, Customer Engagement, Inventory Control, Attention To Detail, Critical Thinking, Computer Literacy, Interpersonal Communication, Professionalism, Documentation Management, Time Management
Specialization
Candidates must possess a strong work ethic, professionalism, and the ability to work independently in a fast-paced environment. Physical ability to move throughout the facility and handle vehicle logistics is required, along with a clean driving record for background checks.
Organ Recovery Surgeon - Southeast at MedAmerica
Hartford, Connecticut, United States - Full Time
Skills Needed
Thoracic Surgery, Organ Recovery, Donor Procurement, Patient Care, Quality Assurance, Protocol Development, Clinical Coordination, Surgical Staff Liaison, Regulatory Compliance, Performance Measurement
Specialization
Requires Board Certification/Eligibility in Thoracic Surgery and a valid US medical license. Candidates must have documented experience with UNOS-qualified transplant programs and a specific number of successful heart and lung transplants.
Experience Required
Minimum 10 year(s)
Part Time - Fulfillment Associate - Flexible at Lowe's Companies, Inc.
Manchester, New Jersey, United States - Full Time
Skills Needed
Order Fulfillment, Inventory Management, Forklift Operation, Order Picker Operation, Narrow Aisle Reach Truck Operation, Customer Service, Retail Technology, Computer Literacy, Safety Compliance, Teamwork, Communication, Quality Inspection, Staging, Locker Management, Audit Completion
Specialization
Requires 6 months of experience with computers and retail technology, along with the ability to obtain powered equipment certifications. A high school diploma and previous retail or fulfillment experience are preferred.
Wastewater Operator - Night Shift - Danville, VA at Tyson Foods
Danville, Virginia, United States - Full Time
Skills Needed
Wastewater Treatment, Chemical Analysis, Laboratory Operation, Regulatory Compliance, Mechanical Skills, Electrical Wiring, Equipment Maintenance, Sample Collection, Microsoft Word, Microsoft Excel, Mathematical Calculations, Hazardous Materials Handling
Specialization
Requires a high school diploma and preferably one year of wastewater or chemistry experience. Candidates must complete specific storm water and industrial waste treatment certifications within a designated timeframe.
Front Desk Team Member Tamarac at ChenMed
Tamarac, Florida, United States - Full Time
Skills Needed
Customer Service, Medical Insurance Verification, Electronic Medical Records, Patient Scheduling, Microsoft Office Suite, Administrative Support, Professional Communication, Detail Oriented, Listening Skills, Patient Advocacy, Data Entry, Phone Etiquette
Specialization
A high school diploma is required, and a minimum of one year of experience in a medical clinic or similar environment is necessary. Proficiency in Microsoft Office and strong customer service skills are essential.
Electrical Pre-Fab Detailer at Legence
Chantilly, Virginia, United States - Full Time
Skills Needed
Revit Mep, Autocad, Navisworks, Electrical Bim Detailing, 3d Coordination, Prefabrication Workflows, Evolve Software, Shop Drawing Production, Electrical Systems Knowledge, Spool Sheet Creation
Specialization
Requires proven experience in electrical BIM detailing and 3D coordination using Revit MEP, AutoCAD, and Navisworks. Candidates should be familiar with commercial electrical systems and possess strong communication skills.
Experience Required
Minimum 2 year(s)
Pharmacy Benefit Verification Specialist at Onco360
Hartford, Connecticut, United States -
Full Time

Start Date

Immediate

Expiry Date

18 Sep, 26

Salary

24.0

Posted On

20 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Pharmacy Benefit Verification, Medical Billing, Insurance Coordination, PBM Contracts, Medicare Knowledge, Medicaid Knowledge, NCPDP Claim Resolution, NDC Medication Billing, Pharmacy Terminology, Analytical Skills, Time Management, Interpersonal Communication

Industry

Pharmaceutical Manufacturing

Description
Onco360 Pharmacy is looking for Pharmacy Benefit Verification Specialists for our Specialty Oncology Pharmacy. As our company continues to grow, we strive to hire new team members with a passion for making a difference in our patient's lives.   Full-Time position working out of the State of Connecticut. This position may work remotely.   Shift time: Monday through Friday 9:00am to 5:30 pm EST.    **Starting salary at $24HR and up**  Sign-On Bonus: $5,000 for employees starting before July 31, 2026.    We also offer quarterly incentive bonuses.   We offer a variety of benefits including: * Medical, Dental & Vision insurance * 401k with a match * Paid Time Off and Paid Holidays * Tuition Reimbursement * Paid Volunteer Day * Floating Holiday * Referral Incentive * Paid Life, and short & long-term disability insurance   Pharmacy Benefit Verification Summary The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs. They will ensure accurate benefit documentation is made for all prescription orders.   Pharmacy Benefit Verification Specialist Major Responsibilities: * Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests. * Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information. * Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information. * Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile. * Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy. * Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims. * Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws * Contributes to team effort by accomplishing related tasks as needed and other duties as assigned. * Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. Pharmacy Benefit Verification Specialist Qualifications: * Education/Learning Experience * Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification  * Desired:  Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience * Work Experience * Required: 1+ years pharmacy or benefit verification experience * Desired: 3+ years pharmacy or benefit verification experience * Licenses/Certifications  * Required: Pharmacy Technician License/Registration with Board of Pharmacy, as required by state law * Skills/Knowledge: * Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. * Behavior Competencies * Required:   Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skill Onco360 is a Closed door specialty pharmacy that focuses on patients who are currently undergoing cancer treatment. Our patients are important to us, so we always strive to meet and exceed their needs. We are seeking Pharmacy Benefit Verification Specialists who go above and beyond for our patients, and also passionate about helping others.
Responsibilities
The specialist investigates and loads accurate patient insurance coverage and runs test claims to ensure optimal reimbursement. They also facilitate medical authorizations and enroll eligible patients in copay assistance programs.
Pharmacy Benefit Verification Specialist at Onco360
Hartford, Connecticut, United States - Full Time
Skills Needed
Pharmacy Benefit Verification, Medical Billing, Insurance Coordination, Pbm Contracts, Medicare Knowledge, Medicaid Knowledge, Ncpdp Claim Resolution, Ndc Medication Billing, Pharmacy Terminology, Analytical Skills, Time Management, Interpersonal Communication
Specialization
Requires a high school diploma, a Pharmacy Technician license, and at least one year of experience in pharmacy or benefit verification. Proficiency in insurance contracts, Medicare/Medicaid, and pharmacy terminology is essential.
Experience Required
Minimum 2 year(s)
302WHA - Warehouse Associate at Spectra Metals Sales, Inc
Fenton, Missouri, United States - Full Time
Skills Needed
Forklift Operation, Inventory Management, Order Fulfillment, Shipping And Receiving, Material Handling, Cycle Counting, Warehouse Safety, Quality Control
Specialization
A high school diploma and at least one year of warehouse or manufacturing experience are preferred. Candidates must be able to lift up to 50 lbs and possess forklift experience or a willingness to be certified.
Administrator Merkel Texas at Siloam Hospitals Group
Fort Worth, Texas, United States - Full Time
Skills Needed
Facility Management, Regulatory Compliance, Budget Development, Census Management, Quality Assurance, Performance Improvement, Strategic Planning, Interdisciplinary Leadership, Occupancy Management, Survey Readiness
Specialization
Must possess a valid, unrestricted Nursing Home Administrator’s license in the state. Requires extensive knowledge of skilled nursing home regulations, laws, and guidelines pertaining to long-term care.
Experience Required
Minimum 5 year(s)
Board Operator/On-Air Personality (Part Time) at Connoisseur Media
Ridgeland, Mississippi, United States - Full Time
Skills Needed
Board Operation, Radio Automation, Fcc Regulations, Eas System, Audio Control, Broadcast Logging, On Air Personality, Transmitter Monitoring
Specialization
Candidates must be available to work Sundays from 6 AM to 1 PM and possess knowledge of FCC rules and EAS systems. Proficiency in running radio automation systems is required.
Server/Dietary Aide FULL TIME at Ignite Medical Resort McHenry
Dyer, Indiana, United States - Full Time
Skills Needed
Dietary Service, Hospitality, Compassionate Care, Dependability, Teamwork, Patient Care
Specialization
Candidates must be authorized to work in the United States. A clean background check and drug screen are required.
Delivery Driver 3710 ALL SHIFTS $$$ at DOMINOS PIZZA FRANCHISE
Greenfield, Massachusetts, United States - Full Time
Skills Needed
Driving, Delivery, Time Management, Customer Service, Navigation
Specialization
Candidates must be at least 18 years old with at least one year of driving history. A personal vehicle with proper delivery insurance is required.
Part Time Associate at The TJX Companies, Inc.
Gaylord, Michigan, United States - Full Time
Skills Needed
Customer Service, Communication, Organization, Multi Tasking, Cash Handling, Merchandising, Loss Prevention, Attention To Detail
Specialization
Candidates should possess excellent customer service and communication skills with the ability to work a flexible schedule. Physical capability to lift heavy objects and a preference for prior retail experience are desired.
ASSOCIATE TEACHER at GO KIDS INC
San Martin, California, United States - Full Time
Skills Needed
Child Supervision, Curriculum Planning, Classroom Management, Child Development, Communication Skills, Interpersonal Skills, First Aid, Cpr, Instructional Material Preparation, Behavioral Guidance
Specialization
Requires a high school diploma, 12 ECE units in core courses, and a valid Associate Teacher Child Center Permit. Candidates must possess a current CPR/First Aid certificate and a valid California Driver's License.
Executive - Customer Services, Non-T1 Service at SBIC External Career Site
, tamil nadu, India - Full Time
Skills Needed
Customer Service, Inbound Call Handling, Outbound Call Handling, Stakeholder Management, Problem Solving, Process Orientation, Detail Orientation, Cross Selling, Customer Retention, First Call Resolution, Csat, Sla Management
Specialization
Requires a graduate degree in any discipline with 1-2 years of overall and relevant domain experience. Candidates should possess strong customer service knowledge and competencies in problem-solving and stakeholder management.
EEG Technician - Epilepsy Center at Providence Health Care, Inc
Spokane, Washington, United States - Full Time
Skills Needed
Neurodiagnostic Studies, Eeg Performance, Patient Care, Clinical Eeg, Bls Certification
Specialization
Candidates must have the minimum education required for eligibility to register with the board of Registered Electroneurodiagnostic Technologists and hold a National Provider BLS certification. Experience in a clinical EEG role is preferred.
Assembler/Sequencer 2nd Shift - Full Time at Android/Avancez
Flint, Michigan, United States - Full Time
Skills Needed
Production Line Operation, Quality Testing, Warehouse Management, Material Handling, Safety Compliance, Multi Tasking, Teamwork, Equipment Operation
Specialization
Requires a high school diploma or equivalent and the ability to lift up to 40 pounds consistently. Previous experience in a manufacturing environment is considered a plus.
- RESPONSABLE FICHIER (H/F) at Groupement Les Mousquetaires
Contrexéville, Grand Est, France - Full Time
Skills Needed
Database Management, Data Analysis, Inventory Management, Mercalys Software, Attention To Detail, Synthesis Skills, Interpersonal Communication, Retail Operations
Specialization
Candidates should possess strong analytical and synthesis skills with a rigorous approach to daily tasks. Professional experience in the retail industry is preferred.
Experience Required
Minimum 2 year(s)
Home Health Physical Therapist - Telehealth at Sierra Home Health and Hospice
Las Cruces, New Mexico, United States - Full Time
Skills Needed
Patient Assessment, Care Planning, Clinical Documentation, Oasis, Patient Education, Case Management, Physical Therapy, Interdisciplinary Collaboration
Specialization
Must be a graduate of an accredited Physical Therapy program with current licensure in New Mexico. Requires a valid driver's license, reliable transportation, and strong communication skills.
Lead Instructor, Recreation at Snyderville Basin Special Recreation District
Park City, Utah, United States - Full Time
Skills Needed
Recreational Programming, Instruction, Coaching, Customer Service, Leadership, Conflict Management, First Aid, Cpr, Event Coordination, Staff Training, Marketing, Scheduling
Specialization
Candidates must be at least 21 years old with a high school diploma, a valid US driver's license, and CPR/First Aid certifications. Experience in coaching, teaching, or programming camps and athletics is preferred.
BMW Lease Return Inspector at Finchey Corp dba Pacific BMW
Glendale, California, United States - Full Time
Skills Needed
Vehicle Inspection, Customer Engagement, Inventory Control, Attention To Detail, Critical Thinking, Computer Literacy, Interpersonal Communication, Professionalism, Documentation Management, Time Management
Specialization
Candidates must possess a strong work ethic, professionalism, and the ability to work independently in a fast-paced environment. Physical ability to move throughout the facility and handle vehicle logistics is required, along with a clean driving record for background checks.
Organ Recovery Surgeon - Southeast at MedAmerica
Hartford, Connecticut, United States - Full Time
Skills Needed
Thoracic Surgery, Organ Recovery, Donor Procurement, Patient Care, Quality Assurance, Protocol Development, Clinical Coordination, Surgical Staff Liaison, Regulatory Compliance, Performance Measurement
Specialization
Requires Board Certification/Eligibility in Thoracic Surgery and a valid US medical license. Candidates must have documented experience with UNOS-qualified transplant programs and a specific number of successful heart and lung transplants.
Experience Required
Minimum 10 year(s)
Part Time - Fulfillment Associate - Flexible at Lowe's Companies, Inc.
Manchester, New Jersey, United States - Full Time
Skills Needed
Order Fulfillment, Inventory Management, Forklift Operation, Order Picker Operation, Narrow Aisle Reach Truck Operation, Customer Service, Retail Technology, Computer Literacy, Safety Compliance, Teamwork, Communication, Quality Inspection, Staging, Locker Management, Audit Completion
Specialization
Requires 6 months of experience with computers and retail technology, along with the ability to obtain powered equipment certifications. A high school diploma and previous retail or fulfillment experience are preferred.
Wastewater Operator - Night Shift - Danville, VA at Tyson Foods
Danville, Virginia, United States - Full Time
Skills Needed
Wastewater Treatment, Chemical Analysis, Laboratory Operation, Regulatory Compliance, Mechanical Skills, Electrical Wiring, Equipment Maintenance, Sample Collection, Microsoft Word, Microsoft Excel, Mathematical Calculations, Hazardous Materials Handling
Specialization
Requires a high school diploma and preferably one year of wastewater or chemistry experience. Candidates must complete specific storm water and industrial waste treatment certifications within a designated timeframe.
Front Desk Team Member Tamarac at ChenMed
Tamarac, Florida, United States - Full Time
Skills Needed
Customer Service, Medical Insurance Verification, Electronic Medical Records, Patient Scheduling, Microsoft Office Suite, Administrative Support, Professional Communication, Detail Oriented, Listening Skills, Patient Advocacy, Data Entry, Phone Etiquette
Specialization
A high school diploma is required, and a minimum of one year of experience in a medical clinic or similar environment is necessary. Proficiency in Microsoft Office and strong customer service skills are essential.
Electrical Pre-Fab Detailer at Legence
Chantilly, Virginia, United States - Full Time
Skills Needed
Revit Mep, Autocad, Navisworks, Electrical Bim Detailing, 3d Coordination, Prefabrication Workflows, Evolve Software, Shop Drawing Production, Electrical Systems Knowledge, Spool Sheet Creation
Specialization
Requires proven experience in electrical BIM detailing and 3D coordination using Revit MEP, AutoCAD, and Navisworks. Candidates should be familiar with commercial electrical systems and possess strong communication skills.
Experience Required
Minimum 2 year(s)