Data Production Specialist, Pharmacy Billing jobs in United States
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ScriptPro · 6 hours ago

Data Production Specialist, Pharmacy Billing

ScriptPro is a company dedicated to revolutionizing the pharmacy industry through innovative technology solutions. The Data Production Specialist plays a key role in supporting the insurance database within the Pharmacy Management System, ensuring accurate claim adjudication through collaboration and problem-solving.

Health CareMedicalRobotics
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Responsibilities

Utilize ScriptPro’s payer sheet custom language to generate a desired claim submission output
Create the appropriate code to achieve a desired output
Describe what is happening in a particular field's/segment's code
Describe what dependencies exist for a particular field's/segment's code
Use ScriptPro’s internal adjudication simulator to properly test the payer sheet
Interpret exception errors and resolve problems with payer sheet syntax/operation
Perform payer sheet reviews and tests to ensure that ScriptPro standards are followed
Assist employees with software tests related to claim processing
Provide suggestions for departmental process improvements and workflow documentation
Process payer sheets in response to industry notifications received
Assist staff members with weekly data release procedures
Evaluate industry announcements for potential third party data modifications
Develop and execute basic to intermediate SQL queries
Collect utilization data sets to facilitate performance analytics
Perform other duties as assigned

Qualification

SQLClaim adjudication processProgramming experienceMicrosoft Office SuiteCommunication skillsOrganizational skillsSelf-motivatedProblem-solving

Required

Bachelor's in Business, Finance or related field preferred
Fundamental programming experience
Working knowledge of the claim adjudication process for pharmacies
Familiarity with Microsoft Outlook, Word, Excel, Access
Rudimentary understanding of Structured Query Language (SQL)
Excellent communication and organizational skills
Self-motivated with the ability to follow department procedures and manage/prioritize workload
Polite, helpful, and positive with internal and external customers
Willingness to learn and meet new challenges with enthusiasm
Must have high-speed reliable internet access with a hard-wired connection
Must have a distraction free home office workspace
Must be willing to participate in video virtual meetings (camera on)

Benefits

Medical
Dental
Vision
Short-Term Disability
Company Paid Life Insurance & Long-Term Disability
24/7 on campus Gym
Vitality Wellness Program that helps lower your premium costs
Paid Time Off (PTO)
Parental Leave
Nine (9) paid holidays
Paid volunteer hours
Employee Assistance Program
Company-sponsored events and team-building activities
401(k) Retirement Plan with company match
Financial investment services
Employee discounts on products and services

Company

ScriptPro

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Scriptpro LLC develops, provides, and supports robotics-based management, workflow, and telepharmacy systems for pharmacies worldwide.

Funding

Current Stage
Late Stage

Leadership Team

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Mike Coughlin
President and CEO
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Tracy Thomas
President
Company data provided by crunchbase