This is a fully remote position, open to applicants in Idaho, +2 more states.

📋 Description

• Assisting with the complete process of Medicare Part B claims activities.

• Ensuring compliance with the requirements set by the Centers for Medicare and Medicaid Services (CMS) by facilitating precise claim processing and submission.

• Supporting initiatives to gather and validate prescriber documentation in accordance with CMS guidelines.

• Maintaining and overseeing a centralized repository of prescriber documentation and utilizing this information to identify actionable claim volumes in line with established Standard Operating Procedures.

⛳️ Requirements

• Minimum of 1 year experience in retail pharmacy, PBM, or account management.

• At least 1 year of professional experience with MS Excel and Access.

• Strong organizational and analytical skills, with a keen attention to detail, accuracy, and follow-through.

• Proven ability to communicate clearly, accurately, and professionally in verbal, written, and phone interactions with both internal and external stakeholders.

• Valid Rhode Island Pharmacy Technician License (Tech II).

• CPhT Certification from PTCB.

• Required: Verifiable High School Diploma or GED.

• Preferred: Associate’s Degree.