Pharmacy Claims Specialists process and verify pharmacy-related claims that are submitted by pharmacies. The job description entails reviewing all submitted claims, and ensuring that they accurately reflect the medication, and dosage as prescribed.
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Pharmacy Claims Specialists are responsible for managing pharmacy claims. The job duties include – reviewing all submitted claims for accuracy, and timeliness, undertaking responsibility for auditing, researching, and resolving billing discrepancies, verifying prescription information, providing compliance guidance relating to regulations, fielding incoming inquiries, coordinating with internal departments, and cross-referencing claims for accuracy.
Dear Mr./Ms.
I am writing to apply for the available Pharmacy Claims Specialist role that (Company Name) has recently advertised in (Source name). With my background in healthcare, pharmacy claims operations, recordkeeping, and meticulous attention to detail, I am assured that my profile will be a perfect match for this role.
In my current role at (old pharmacy name), I am employed as a Pharmacy Claim Specialist at their local community pharmacy. The following are the responsibilities that I often carry out on a daily basis – reviewing patient information and ensuring it is valid, accurate, and complying with relevant federal and state regulations. I am skillful in managing multiple tasks and efficient in revising and authorizing processes for all the orders that come into the pharmacy.
Here are some of the qualifications that justify my candidature –
With these skills and more, I am now eager to make a transition in my career and want to join a company like (Company Name) as Pharmacy Claims Specialist. If hired I will be an extremely committed member, and work to the fullest capacity.
I look forward to discussing my capabilities and qualifications in greater detail.
Sincerely,
[Your Name]
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