LDI Integrated Pharmacy Services
  • 29-Nov-2017 to 28-Jan-2018 (CST)
  • Customer Service
  • St. Louis, MO, USA
  • Full Time

Location: St. Louis

About Us:

LDI Integrated Pharmacy Services is a St. Louis, Missouri-based, independently owned and operated company offering integrated pharmacy services ranging from pharmacy benefit management to Mail order and specialty pharmacies. We are a growing company, and looking for talented, innovative and diverse thinkers to grow with us.

Description:

The Claims Processing Associate is responsible for managing the reconciliation of payments to Specialty Pharmacy claims from various sources and verification of proper claims processing to adhere to plan specific benefit coverages and programs.

Responsibilities:

  • Posts daily payments from clients, members, and third party payers
  • Matches claim data records in billing system to ensure proper billing and reporting
  • Organizes and maintains claim records for future reference
  • Reviews and insures the validity of incoming data for Medicaid and member reimbursement, correcting information as needed and processes the account for payment
  • Assists in the documentation of procedures used for reference and training
  • Perform other duties and tasks as assigned by supervisor

Qualifications:

  • Must have a high school diploma or equivalent
  • Associates degree or two years relevant experience highly preferred
  • Proficient computer skills including knowledge of Microsoft Excel and Access required
  • Working knowledge of health insurance or Specialty pharmaceutical industry highly preferred
  • Self-motivated and able to process large claim volume with a high level of accuracy
  • Strong organizational skills and highly detail oriented
  • Able to make sound judgments on own with little supervision
  • Good interactive skills with employees, supervisors, referral sources, and consumers
  • Successful completion of a pre-employment drug screen and background check
  • Must be 18 years of age

Physical Requirements:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Must be able to work in an office environment using a computer for up to 8 hours a day & sitting for extended periods

 Benefits:

  • Health, Dental, Vision, Voluntary Life Insurance, Flex Spending
  • Company Paid Group Term Life Insurance and Short and Long Term Disability
  • 401(k) Retirement Account with Company Match
  • Paid Time Off & Paid Holidays

 

Pre-employment drug screen and background check required.

 

LDI Integrated Pharmacy Services is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, protected veteran status, disability, or any other basis protected by federal, state, or local law.

 

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

LDI Integrated Pharmacy Services
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