Pharmacy Claims Auditor - Spokane Washington

Company: VirtualVocations
Location: Spokane, Washington
Posted On: 01/29/2025

A company is looking for a Pharmacy Claims Auditor.



Key Responsibilities

Validate claim documentation and systems data for accurate processing
Solicit and follow up on documentation from pharmacies to support claim submissions
Analyze pharmacy claims for errors and educate pharmacies on billing practices


Required Qualifications

Bachelor's degree in Health Science or related field, or equivalent experience; HS diploma or GED required
National Pharmacy Technician Certification through PTCB or ExCPT (CPhT)
2 years of experience in pharmacy or Pharmacy Benefit Management, including 1 year in operations, audit, or quality assurance
Must be eligible to work in the United States without sponsorship More...

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