Pharmacy Third-Party Specialist

Job overview

The Pharmacy Third-Party Specialist role is onsite in Dunkirk, New York; the posting says the employee may choose a main location between Dunkirk and Jamestown. Pay is $16.50–$19.50 per hour. The position is in TCC Health’s Pharmacy department. The specialist resolves third-party insurance claim and billing issues, helping ensure accurate reimbursement and serving as a contact among pharmacy staff, patients, and insurance companies.

What you'll do

• Ensure claim information is accurate and complete
• investigate rejected claims and work with insurers on corrections and prior authorizations
• resolve payment discrepancies
• maintain detailed claims, billing, and reimbursement records
• stay current on insurer policies and procedures
• answer billing questions from pharmacy staff and patients
• contribute to effective billing practices
• maintain confidentiality and comply with HIPAA.

What we're looking for

Skills & competencies

pharmacy billing

third-party claims

insurance claims

reimbursement

prior authorizations

hipaa

patient support

pharmacy operations

dunkirk ny

jamestown ny

tcc health

$16.50–$19.50/hour

Work arrangement

• Weekend coverage required

Why this role

Certified Pharmacy Technician certification is preferred; a high school diploma or equivalent is required.

About the employer

TCC Health is hiring for this role. Industry: Offices of All Other Miscellaneous Health Practitioners. Sector: 62.