540 Jobs in Commerce City, Colorado

BrightSpring Health Services

Retail Assistant Store Manager (Full Time) - Aurora

Aurora, Colorado

Full Time

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LinQuest

Senior Operations Research Analyst

Colorado Springs, Colorado

Contractor, Full Time

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Outback Steakhouse

Dishwasher Worker

Denver, Colorado

Part Time, Full Time

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City of Loveland

Gymnastics Instructor I/II - Athletics Part Time

Loveland, Colorado

Part Time

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Maverik

Rebar Service Manager - Denver, CO

Denver, Colorado

Full Time, Contractor

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Thermo Fisher Scientific

Software Engineer III

Fort Collins, Colorado

Full Time

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Outback Steakhouse

Senior Marketing & Proposal Coordinator

Denver, Colorado

Full Time

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Construction Solutions Group

Project Engineer I - Denver, CO

Denver, Colorado

Full Time, Contractor

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DAVITA

Sr Project Manager, Procurement Ops

Denver, Colorado

Full Time

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Western States Fire Protection

Fire Protection Project Manager and Designer

Glenwood Springs, Colorado

Contractor

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Systemart, LLC

Software Application Developer-Product 4 (63002-1)

Englewood, Colorado

Contractor

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Clientsolv Technologies

IT Network Help Desk Technician

Golden, Colorado

Contractor

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Broadmead Medical Services Inc

Director, Sr Corporate Counsel

Denver, Colorado

Full Time

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Broadmead Medical Services Inc

Janitorial Maintenance

Monument, Colorado

Full Time, Part Time

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Broadmead Medical Services Inc

Staff Product Manager, Developer Platform

Denver, Colorado

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Hero Practice Services

Dental Assistant Manager

Colorado Springs, Colorado

Full Time

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Avacare Clinical Research Network

Pharmacy Tech Support Call Center Representative (Home-Based)

Denver, Colorado

Full Time

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Broadmead Medical Services Inc

Level 2 Assistant Manager(06271) - 1501 S PRIAIRIE BLVD

Pueblo, Colorado

Full Time

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Maverik

Lead Food Service Team Member - Maverik

Aurora, Colorado

Full Time

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BrightSpring Health Services

ADJUDICATOR, POINT OF SALE

Longmont, Colorado

Full Time

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Our Company

PharMerica

Overview

Join our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!

Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!

We are seeking dynamic Adjudicators-Point of Sale with 3rd party claims experience. Pharmacy Technicians seeking an alternative career move from the retail environment are desired

This position has the potential opportunity to be remote

We offer:

DailyPay

Flexible schedules

Competitive pay

Shift differential

Health, dental, vision and life insurance benefits

Company paid STD and LTD

Employee Discount Program

401k

Paid-time off

Tuition reimbursement

Non-retail/Closed-door environment

If your passion is service excellence and top-quality care come join our team and apply today!

*Position will be posted for a minimum of 7 business days

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 is a full-service pharmacy solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute care organizations. PharMerica is one of the nation's largest pharmacy companies. PharMerica offers unmatched employee development, exceptional company culture, seemingly endless opportunities for advancement and the highest hiring goals in decades. For more information about PharMerica, please visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.

Salary Range

USD $21.00 - $23.00 / Hour

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