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Description
Affiliated Computer Services, Inc., ACS, is a global FORTUNE 500 company with more than 55,000 plus people working together to support client operations in nearly 100 countries. By providing business process outsourcing, human resources outsourcing and information technology solutions to world-class commercial and government clients, ACS offers its associates vast opportunities to succeed. Recognized worldwide for generating possibilities and creating solutions, ACS welcomes you to become part of our growing team. Join our mission and vision for the future. Thank you for your interest!
The Claims Review Specialist -Pharmacy shall possess:
Work Experience:
At least 2 years utilization/quality assurance review, as well as ICD-9-CM and CPT-4 and pharmacy coding experience as well as experience related to the specific workload of the individual task order, which may be further defined in the Task Order Statement of Work.
Experience in coding and abstracting, working knowledge of Medicaid coverage guidelines, advanced knowledge of utilization review/quality assurance procedures, ICD-9-CM, CPT-4 and NCPDP pharmacy coding.
Educational Requirements:
A Registered Pharmacy Technician (currently licensed in the respective therapies).
Additional Requirements per Task Orders.
Work Experience:
Advanced knowledge of NCPDP and other types of prescription drug claims is required.
This position can be located anywhere in the US, but requires travel.
ACS is an Equal Employment Opportunity/Affirmative Action Employer and does not discriminate against any applicant on the basis of race, color, religion, national origin, age, gender, marital status, disability, sexual orientation, military/veteran status, or any other status protected by Federal or State law or local ordinance.
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