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PBM Claims Coordinator
at Walgreens in Deerfield, IL
Position Title: PBM Claims Coordinator
Working Location: Illinois-Deerfield
Employment Status: Full-Time Regular
Required Experience: 1 year
Required Education: High School Diploma
Job Description:
Walgreens (www.walgreens.com) is the nation's largest drugstore chain with fiscal 2007 sales of $53.8 billion. The company operates over 6,200 drugstores in 49 states, the District of Columbia and Puerto Rico. Walgreens provides the most convenient access to consumer goods and cost-effective health care services in America through its retail drugstores, Walgreens Health Services division and Walgreens Health and Wellness division. Walgreens Health Services assists pharmacy patients and prescription drug and medical plans through Walgreens Health Initiatives Inc. (a pharmacy benefit manager), Walgreens Mail Service Inc., Walgreens Home Care Inc., Walgreens Specialty Pharmacy LLC and SeniorMed LLC (a pharmacy provider to long-term care facilities). Walgreens Health and Wellness division includes Take Care Health Systems, which is comprised of: Take Care Consumer Solutions, managers of over 170 convenient care clinics at Walgreens drugstores, and Take Care Employer Solutions, managers of worksite-based health and wellness services at more than 370 employer campuses. Through these growing services and its drugstores, Walgreens plans to keep people healthier and more productive through 10,000 points of care by 2012.
Ranked 2nd among food and drug retailers on Fortune's "Most Admired Companies in America" list. We offer challenging and rewarding opportunities in a friendly, diverse, inclusive and respectful environment, with excellent benefits including:
Company-matched profit sharing contributions
Stock discount purchase program
Employee discount plan
Flex-pay
Medical/Dental plan
As the nation's leading pharmacy, we seek professional individuals to fill key positions at Walgreens, ensuring our leadership and taking us to even higher levels of growth, profitability, innovation and customer service. Walgreens is an equal opportunity employer and welcomes individuals of diverse talents and backgrounds. Walgreens promotes and supports a drug-free and smoke-free workplace.
Essential Skills:
Responsible for performing duties for PBM Claims processing functions to include paper and DMR claims entry, claims monitoring, payments to plan members and pharmacies, response and resolutions to incoming issues related to claims or payments, received by mail, e-mail, fax, via the CMITS issue queue and by phone. Responsible for issue investigation, resolution and communication to claimants. Reports and escalates urgent issues to the Group Manager. Prepares logs and reports as needed. Responsible for ensuring that all tasks are organized and completed in a timely manner and in accordance with industry guidelines and standards.
Qualifications:
Bachelors degree preferred; Claims processing experience preferred; Strong knowledge of Microsoft Word and Excel; Excellent oral and written communication skills as well as strong organizational skills; Previous healthcare experience desired.
Working Location: Illinois-Deerfield
Employment Status: Full-Time Regular
Required Experience: 1 year
Required Education: High School Diploma
Job Description:
Walgreens (www.walgreens.com) is the nation's largest drugstore chain with fiscal 2007 sales of $53.8 billion. The company operates over 6,200 drugstores in 49 states, the District of Columbia and Puerto Rico. Walgreens provides the most convenient access to consumer goods and cost-effective health care services in America through its retail drugstores, Walgreens Health Services division and Walgreens Health and Wellness division. Walgreens Health Services assists pharmacy patients and prescription drug and medical plans through Walgreens Health Initiatives Inc. (a pharmacy benefit manager), Walgreens Mail Service Inc., Walgreens Home Care Inc., Walgreens Specialty Pharmacy LLC and SeniorMed LLC (a pharmacy provider to long-term care facilities). Walgreens Health and Wellness division includes Take Care Health Systems, which is comprised of: Take Care Consumer Solutions, managers of over 170 convenient care clinics at Walgreens drugstores, and Take Care Employer Solutions, managers of worksite-based health and wellness services at more than 370 employer campuses. Through these growing services and its drugstores, Walgreens plans to keep people healthier and more productive through 10,000 points of care by 2012.
Ranked 2nd among food and drug retailers on Fortune's "Most Admired Companies in America" list. We offer challenging and rewarding opportunities in a friendly, diverse, inclusive and respectful environment, with excellent benefits including:
Company-matched profit sharing contributions
Stock discount purchase program
Employee discount plan
Flex-pay
Medical/Dental plan
As the nation's leading pharmacy, we seek professional individuals to fill key positions at Walgreens, ensuring our leadership and taking us to even higher levels of growth, profitability, innovation and customer service. Walgreens is an equal opportunity employer and welcomes individuals of diverse talents and backgrounds. Walgreens promotes and supports a drug-free and smoke-free workplace.
Essential Skills:
Responsible for performing duties for PBM Claims processing functions to include paper and DMR claims entry, claims monitoring, payments to plan members and pharmacies, response and resolutions to incoming issues related to claims or payments, received by mail, e-mail, fax, via the CMITS issue queue and by phone. Responsible for issue investigation, resolution and communication to claimants. Reports and escalates urgent issues to the Group Manager. Prepares logs and reports as needed. Responsible for ensuring that all tasks are organized and completed in a timely manner and in accordance with industry guidelines and standards.
Qualifications:
Bachelors degree preferred; Claims processing experience preferred; Strong knowledge of Microsoft Word and Excel; Excellent oral and written communication skills as well as strong organizational skills; Previous healthcare experience desired.
Published at 12-11-2008
College ad viewed: 270 times
College ad viewed: 270 times