Job Information
SVP Pharmacy Corp., d/b/a Sinai RX Pharmacy Computer Systems Analyst in Bronx, New York
Computer Systems Analyst needed w/Master’s degree or Foreign Equivalent in Computer Information Sciences or Computer Science or Computer Engineering and one (1) year experience as Computer Systems Analyst performing following job duties:Research medication-related insurance claim denials. Responsible for following up on unpaid and underpaid pharmacy claims. Complete appeals to insurance payers. Monitor and report outcomes of denials reviews and provide the recommendation for Process improvements. Communicate effectively to include written and verbal forms of communication. Responsible for NDC billing data fields. Analyze and review drug and drug-related billing denials for medical necessity and any other Coding specific denial reason. Assure appropriate reimbursement by payers by comparing actual versus expected Medication reimbursement rates. Follow Medicare rules and regulations, Medicaid, insurance-based prior Authorizations and clinical coverage guidelines. Use PrimeRx software. Benefits: PTOSalary: $96000.00 Per YearMail Resumes to: SVP Pharmacy Corp., d/b/a Sinai RX Pharmacy903 B Sheridan Ave Bronx NY 10451Job Location: Bronx, NY
Minimum Salary: 96000.00 Maximum Salary: 96000.00 Salary Unit: Yearly