Mitchell International, Inc.

Pharmacy Services Specialist

US-UT-Murray
Job ID
17-7614
Type
Regular Hire

Company Overview

Mitchell International, Inc. is a leading provider of information and workflow solutions to the Property & Casualty Claims industry. Founded in 1946, Mitchell has delivered advanced information and technology solutions to over 100,000 customers throughout North America, helping them to improve their business process performance. Mitchell’s Pharmacy Solutions division provides critical Pharmacy Benefit Management solutions to hundreds of workers’ compensation and auto insurance carriers, administrators and employers in the United States, as well as connects with over 65,000 pharmacies to provide injured patients with access to prescription medicines. Our mission is to provide our customers with better claim outcomes and help patients restore their lives after a workplace or automobile accident.  Mitchell’s Salt Lake City office includes over 200 associates who work directly with pharmacies and payers to process over 1 million pharmacy transactions each year.  Mitchell is the fastest growing pharmacy solutions provider to the U.S. property and casualty industry and is rapidly growing its Salt Lake City office location.  The company offers a competitive compensation and benefits package including health insurance, 401(k), disability protection and tuition reimbursement. Our associates enjoy excellent career growth opportunities in a collaborative and engaging professional office environment that includes an onsite gym, full cafeteria and available on-site day care for children. 

 

 

Job Description

We’re seeking several talented individuals to join the Pharmacy Solutions team. Our Pharmacy Services Specialist assist pharmacies, patients and insurance companies in prescription processing in accordance with established policies. Responsibilities include but are not limited to the following:

  • Answer incoming calls to assist customers with a variety of inquiries
  • Place calls to gather data to resolve pharmacy, insurance claim, and insurance coverage inquiries
  • Obtain authorization from insurance companies to process new transactions
  • Partner with Claims Adjustors to determine claim eligibility and claim status
  • Verify date of payment from insurance carriers or employers
  • Enter and maintain accurate records in our information system 
  • Negotiate reconsideration of claim payment when claims are denied
  • Validate receipt of claims or invoices to the carrier
  • Follow-up on outstanding invoice payments
  • Maintain up-to-date knowledge of state guidelines and company policies on claims

 

Qualifications

  • No previous industry experience is required as we provide comprehensive on-the-job training
  • Minimum 2-4 years of related experience is required
  • Basic computer and keyboarding skills are required; Microsoft Office suite is a plus
  • Excellent interpersonal and communication skills, including good grammar and diction
  • Maintain a positive and professional demeanor during all business interactions
  • Ability to quickly and accurately organize and manage multiple priorities
  • Ability to read and interpret documents such as operating/procedure manual
  • Make sound decisions with an ability to learn quickly
  • Understanding of medical terminology and billing is desired
  • Ability to sit for long periods of time (up to 8 hours per day)  

Licenses or Certifications: Medical Coding certification is a plus

 

Written Abilities: Proficient grammar, sentence structure and written communication skills are required.

 

Education: Minimum High School diploma or GED. Some training in medical billing would be a plus.

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