and services billed. Verify services and products are correctly authorized and required documentation is on file. Ensure all Medicare documentation is received from the medical provider and submitted to Danville. Review reports to maximize generic substitution opportunities.
Manage and collect patient balances prior to prescription dispensing, or in accordance with company policy. Ensure all required documentation for billing is completed and accurate prior to claim submission (i. e. medical claims billing). Process reimbursement checks/payment in accordance with policy. Review price modify logs and ensure there are corresponding SDL (submit direct link) claims. Review, research and resolve
all third party chargebacks in a timely manner. Assist with any third party audits, in accordance with company policy. Process and file all SDL (submit direct link) claims in accordance with company policy.
Processing of prescription exceptions including prior authorizations, triaging of referrals to other Walgreens locations, and proactively identifying copay assistance opportunities. Responsible for proactive communication to patients and providers regarding referral/prescription status. Responsible for maintaining a deep understanding of and assisting patients with assistance programs enrollment, such as Chronic Disease Fund, confirming patient eligibility and all required reporting
and documentation. Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians and third party payers.
Maintains subject matter expertise pertaining to all external billing practices including but not limited to third party adjudications, prior authorization, and patient financial assistance programs in order to coach shop technicians and other support staff. External Basic Qualifications High School Diploma or equivalent. shop Technician license, in states where required. Maintains PTCB or Ex CPT certification through the designated PTCB or Ex CPT training program and/or state required certification/registration.
Experience communicating both verbally (on phone, one-on-one, to groups) and in writing (emails, letters, reports, presentations) to various audiences (work group, team, company management, prospective acquisitions, external clients). Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction. Preferred Qualifications Prefer six months of experience in a retail environment. Prefer to have prior work experience with Walgreens. Experience in processes related to submitting medical claims, including but not limited to Medicare submission, knowledgeable in EOB (explanation of benefits), remittance advice and adherence to timely filing limits.
Experience entering data into databases (e. g. MS Excel). The following information is applicable for San Francisco, CA applicants: Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. An Equal Opportunity Employer, including disability/veterans. The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors.
To review benefits, please visit jobs. /benefits PDN-9ad38dac-8acf-4742-a748-50a87d5830b0
offices in Nashville, New York, and Los Angeles. FBMM has an excellent opportunity for a royalty audit professional with music industry experience! We are seeking a highly motivated individual to join us primarily as a royalty auditor with opportunities to train in additional areas such as catalog sales and valuations, royalty training for staff, label services and numerous special projects as they arise.
As a royalty auditor you will be the audit lead in performing royalty compliance procedures of record labels and publishing companies on behalf of our diverse client roster. This is a full-time, Monday through Friday position in our Nashville office, with hybrid opportunity after initial
training period is complete. Preferred candidates are conscientious, dedicated, detail oriented, possess excellent verbal and written communication skills, and can operate with a high level of flexibility.
Responsibilities Include: Assisting and/or performing audit processes for record label and publishing audits. Preparing databases and analyzing large datasets using excel. Bonus points for having Power BI or other big database experience. Analyzing license agreements and royalty statements. Performing detailed tests of the books and records necessary on an audit. Performing detailed analysis of reported royalties, identifying underreported royalties and/or excess expenses. Communicate
effectively with VP of Royalties and Contract Compliance and Business Management teams.
Working together with VP of Royalties to plan for audit and preparing for fieldwork. Drafting audit claims schedules and, eventually, drafting audit reports. Maintaining and organizing all documents. Special projects as needed. Important Skills and Qualifications we look for: Solid mathematical and analytical skills. Strong oral and written communication skills. Ability to work both independently and as part of a team. Ability to prioritize and maintain recurring tasks with minimal supervision. Strong problem solving, organizational and planning/time management skills.
Enjoys working in and excels in a fast-paced environment (ability to multitask). Proficiency in Microsoft Office Suite and advanced Excel skills (pivot tables, charts, vlookups) Strong attention to detail Education and Experience Requirements: A minimum of 2 years' experience in royalty audits in the music industry. Bachelor's degree in music business or accounting required.
of change and move at an amazing pace, thanks to our remarkable people, who bring cutting-edge products and services to life for millions of customers every day. If you share in our passion for teamwork, our vision to revolutionize industries and our goal to lead the future in media and technology, we want you to fast-forward your career at Comcast.
Job Summary Responsible for day-to-day coordination of Tennessee region community impact (CI) initiatives. Provides supports to region external affairs team and BSR community impact director. Procures, builds, and manages viable community relationships supporting local digital equity initiatives among diverse audiences. Represents the company
brand within the community. Plans, coordinates and manages events. Candidate should have some relevant experience in community impact/affairs social media, marketing, and event planning.
Has ability to work independently with little to no direction. Acts as a resource for colleagues in planning, research, follow-up, and administrative work. Candidate will support and execute an overarching community impact support Region, Division and Corporate goals. Qualifying candidate will direct multiple projects with strong follow-through. Job Description Core Responsibilities Assists in growing community partner relationships that align with our business goals. Helps partners launch and develop
sustaining programs that align with our Project UP initiatives. Prepares and coordinates approved community impact efforts.
Ensures that the organization's interests are represented and protected among community leaders, partners, and media. Works closely with non-profit organizations and community groups and communicates foundation guidelines to relevant partners. Works with PR team and CI director to amplify storytelling via video and photo capture, social media post and internal communications that follow corporate communication guidelines. Work alongside region, division and corporate stakeholders. Provides and manages weekly, monthly, quarterly, and annual reports.
Acts as Company liaison to local partner contacts Helps to procure and manage external vendors. Leads special projects related to Community Affairs and executive visits. Handles local Lift Zones, Team UP events, partner programs and media opportunities. Regular, consistent, and punctual attendance. Must be able to work nights and weekends, variable schedule(s) and overtime as the need arises.Other duties and responsibilities as assigned Employees at all levels are expected to: Understand our Operating Principles; make them the guidelines for how you do your job. Own the customer experience - think and act in ways that put our customers first, give them seamless digital options at every touchpoint, and make them promoters of our products and services.
Know your stuff - be hardworking learners, users and advocates of our groundbreaking technology, products and services, especially our digital tools and experiences. Win as a team - make big things happen by working together and being open to new ideas. Be an active part of the Net Promoter System - a way of working that brings more employee and customer feedback into the company - by joining huddles, making call backs and helping us elevate opportunities to do better for our customers.
Get results and growth. Respect and promote inclusion & diversity. Do what's right for each other, our customers, investors and our communities. Disclaimer: This information has been crafted to indicate the general nature and level of work performed by employees in this role. It is not crafted to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications. Comcast is proud to be an equal opportunity workplace. We will consider all qualified applicants for employment without regard to race, color, religion, age, interaction, interactionual orientation, gender identity, national origin, disability, veteran status, genetic information, or any other basis protected by applicable law.
Education Bachelor's Degree While possessing the stated degree is preferred, Comcast also may consider applicants who hold some combination of coursework and experience, or who have extensive related professional experience. Relevant Work Experience 5-7 Years Base pay is one part of the Total Rewards that Comcast provides to compensate and recognize employees for their work. Most sales positions are eligible for a Commission under the terms of an applicable plan, while most non-sales positions are eligible for a Bonus.
Additionally, Comcast provides best-in-class Benefits. We believe that benefits should connect you to the support you need when it matters most, and should help you care for those who matter most. That's why we provide an array of options, expert guidance and always-on tools, that are personalized to meet the needs of your reality - to help support you physically, financially and emotionally through the big milestones and in your everyday life. Please visit the compensation and benefits summary on our careers site for more details.
PDN-9acfba81-0f10-4cf4-8847-a69f3caf63d4
