1. Company: ScriptPro

    Title: Payer Sheet Specialist

    Reporting Relationship: Reports to Industry Data Resources Manager

    Scope of the Role:
    • Utilize ScriptPro’s payer sheet custom language to generate a desired claim submission output
    • Create the appropriate code to achieve a desired output
    • Describe what is happening in a particular field's/segment's code
    • Describe what dependencies exist for a particular field's/segment's code
    • Use ScriptPro’s internal adjudication simulator to properly test the payer sheet
    • Interpret exception errors and resolve problems with payer sheet syntax/operation
    • Perform Payer Sheet reviews and tests to ensure that ScriptPro standards are followed
    • Assist employees with software tests related to claim processing
    • Provide suggestions for departmental process improvements and workflow documentation
    • Process payer sheets in response to industry notifications received
    • Assist staff members with weekly data release procedures
    • Evaluate industry announcements for potential third party data modifications
    • Develop and execute basic to intermediate SQL queries
    • Collect utilization data sets to facilitate performance analytics
    Education and Experience Requirements:
    • Fundamental programming experience
    • Familiarity with Microsoft Outlook, Word, Excel, Access
    • Rudimentary understanding of Structured Query Language (SQL)
    Bonus Skills:
    • Experience with pharmacy 3rd party claims - processing and adjudication
    • Familiarity with the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard, Version D.0
    Attributes Desired:
    • Excellent communication and organization skills
    • Self-motivated with the ability to follow department procedures and manage/prioritize workload
    • Polite, helpful, and positive with internal and external customers
    • Willingness to learn and meet new challenges with enthusiasm
    To apply:

    At this time, ScriptPro is not sponsoring any type of visas for this position.
    ScriptPro is an Equal Opportunity Employer.
    Please visit www.scriptpro.com to learn more about the mission of our company.

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