Bloomfield, United States
over 1 year ago
Primary duties are:
Audit member communication proofs against approved letter templates for Medicare Pharmacy.
Audits and reviews the accuracy of Medicare Pharmacy Operational lettters and documents.Performs detailed review of Pharmacy Claim Explanation of Benefitstemplates for accuracy in support of Operational readiness.
Delivers specific delegated tasks assigned by a supervisor in the Quality Review job family. Completes day-to-day Quality Review and Audit tasks without immediate supervision, but has ready access to advice from more experienced team members. May assist in more complex Quality reviews where experience and wider business acumen is required and as assigned by manager.