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Medical Svc Sr Specialist-National CPhT Certification

Location: Cherry Hill
Posted on: March 20, 2017

Job Description:

Description: Xerox Audit and Compliance Solutions performs in depth pharmacy audits on behalf of our clients. As a Pharmacy Claims Reviewer, you'll be tasked with examining a wide variety of pharmacy records against our client's pharmacy claim data to ensure billed pharmacy claims are being accurately submitted. You will also be required to represent our clients as a Pharmacy Auditor and conduct Onsite pharmacy audits occasionally.
This is an office position that will require travel weekly travel approximately 2 to 4 weeks a year. You will be provided a company lap top, equipment and special software to conduct pharmacy audits.
Position Responsibilities -- As a Pharmacy Claims Reviewer o Examine and interpret electronically scanned pharmacy records against submitted claim data for potential discrepancies o Utilize specific client instructions, federal and state regulations and standards of practice to properly access pharmacy documentation o Respond to pharmacy calls in regards to audit results o Deal with clients periodically to report audit results -- Call Center Assistance o Responsible for covering incoming phone calls for a portion of the day Required Skills -- National CPhT Certification -- 5+ years retail pharmacy experience -- Long Term Care/Infusion pharmacy experience favorable -- Proficient in Windows and Microsoft Office preferred


Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply or compete for employment with Conduent Business Services or one of its subsidiaries may request such accommodation(s) by sending an e-mail to . Be sure to include your name, the job you are interested in, and the accommodation you are seeking.

Keywords: , New York, Medical Svc Sr Specialist-National CPhT Certification, Healthcare, Cherry Hill, New York

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