Pharmacy Claims Coordinator

Comercial Navero y Elvira Pol. Ind. Postuero - Nave 7-8


Date: 6 hours ago
City: Cebu City
Contract type: Full time
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:

  • Bachelor'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.

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