Analyzing claims raw data from a client’s dispensing system (ERx, Relay, QS1, Frameworks, PDX, ComputerRx, Epic and Rx30) to verify the validity of the data. Assist with the development, documentation, testing and analysis of new services.
Analyze client data to help realize the impact of doing business by providing insight into service fees, discount cards, DIR Fees, etc.
Assist in reading 835 files and manual remittance advice.
Reconcile pharmacy claims to insurance payments.
Help with Inmar Pharmacy Management System