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Pharmacy Claims Coordinator
Nexus Recruitment GroupCebu City, Cebu, Philippines30+ days ago
Job type
- Quick Apply
Job descriptionBachelor's degree + 1 year pharmacy experience (Long Term Care, Specialty, or Mail Order a plus). Pharmacy Technician license required; national certification preferred. Strong knowledge of pharmacy practice, laws, and regulations. Proficient in MS Office; SQL / SAS knowledge a plus. Excellent analytical, problem-solving, and communication skills.
We're looking for a Pharmacy Claims Auditor to safeguard our claims data and prevent fraud. You'll conduct audits, analyze billing activities, and ensure compliance with regulations.
What Youll Do :
- Conduct desk and on-site pharmacy audits.
- Review claims for errors, discrepancies, or fraud.
- Communicate with pharmacies to resolve billing issues.
- Prepare audit reports and recommend corrective actions.
- Document findings and ensure client invoicing accuracy.
What You'll Bring :
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Pharmacy Coordinator • Cebu City, Cebu, Philippines
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