Pharmacy Claims Auditor Cpht

Conduent Business Services

Philadelphia, PA, United States
Base: estimated $57,000; bonus/equity: may be elig...
On-site
National cpht certification or ability to obtain
Extensive retail pharmacy experience
Valid driver's license and reliable car
The role involves examining pharmacy records against claim data to ensure accuracy and compliance with client instructions and regulations

Job Summary

  • The role involves examining pharmacy records against claim data to ensure accuracy and compliance with client instructions and regulations.
  • Employees will conduct both desktop and onsite audits, including making confirmation calls and handling audit reschedules in a professional manner.
  • Conduent offers comprehensive health benefits, retirement savings programs, paid training, and competitive PTO packages to support employee growth.

Matching Summary

The role involves examining pharmacy records against claim data to ensure accuracy and compliance with client instructions and regulations.

Salary

Base: Estimated $57,000; Bonus/Equity: May be eligible for bonus based on business need; Benefits: Health insurance, dental, vision, life, disability, retirement plan, PTO

Skills & Requirements

Must-have

  • National CPhT Certification or ability to obtain
  • Extensive retail pharmacy experience
  • Valid driver's license and reliable car
  • Ability to travel overnight 25% of the month
  • Proficiency with Windows and Microsoft Office

Nice-to-have

  • Strong communication skills for pharmacy calls
  • Professional demeanor during onsite audits
  • Knowledge of federal and state pharmacy laws
  • Ability to stand for up to 8 hours

Key Requirements

  • National CPhT Certification through PTCB
  • Extensive retail pharmacy experience
  • Living in commutable distance to Philadelphia, PA
  • Valid driver's license with reliable vehicle
  • Ability to lift 20 lbs boxes

Work Rights

Not specified

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