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Part Time Insurance Utilization Review Jobs in Maryland

Gianteagle

Pharmacy Intern

Edgewood, MD

$16.50 - $20.50/hr

Ensure proper documentation for transmitting information to insurance companies, reviewing profiles for appropriate billing choices. * Alert pharmacists appropriately for drug utilization reviews ...

Great American Insurance Group

Seasonal part-time. Hours fluctuate based on seasonal needs. As a Crop Adjuster, you will ... insurance policies. * Review and evaluates coverage and/or liability. * Secure and analyze ...

Great American Insurance Group

Seasonal part-time. Hours fluctuate based on seasonal needs. As a Crop Adjuster, you will ... insurance policies. * Review and evaluates coverage and/or liability. * Secure and analyze ...

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All JobsInsurance Utilization Review JobsPart Time Insurance Utilization Review JobsPart Time Insurance Utilization Review Jobs in Maryland

Part Time Insurance Utilization Review information

What is the difference between Part Time Insurance Utilization Review vs Part Time Claims Reviewer?

AspectPart Time Insurance Utilization ReviewPart Time Claims Reviewer
CredentialsTypically requires insurance or healthcare-related certificationsOften requires insurance or claims processing certifications
Work EnvironmentHealthcare settings, insurance companies, or third-party administratorsInsurance companies, claims processing centers, or third-party administrators
Job FocusEvaluating medical necessity and appropriateness of servicesReviewing and processing insurance claims for accuracy and coverage

Part Time Insurance Utilization Review and Part Time Claims Reviewer roles both involve insurance industry work, but focus on different aspects. Utilization review centers on assessing medical necessity, while claims reviewers handle processing and verifying claims. Understanding these differences helps job seekers find the right fit based on their skills and interests.

What are the most commonly searched types of Insurance Utilization Review jobs in Maryland?

The most popular types of Insurance Utilization Review jobs in Maryland are:

What cities in Maryland are hiring for Part Time Insurance Utilization Review jobs?

Cities in Maryland with the most Part Time Insurance Utilization Review job openings:

Part Time Insurance Utilization Review jobs near you

Pharmacy Intern

Gianteagle

Edgewood, MD

$16.50 - $20.50/hr

Part-time

Re-posted 13 days ago

Job description

Job Summary

As a Pharmacy Intern, you'll be a key part of our team. You'll bring your skills and expertise to Giant Eagle and contribute toward the creation of a service conscious pharmacy. You'll also build relationships with patients that exceed their expectations. And provide safe, accurate and efficient care and customer service in order to achieve the best patient, Team Member and company outcomes.

Job Description

  • Experience Required: 0 to 6 months
  • Education Desired: High school degree or equivalent and current enrollment in an ACPE-accredited pharmacy degree program
  • Certification or Licensing Required: Pharmacy; Active in-state Pharmacy Intern License
  • Lifting Requirement: Up to 25 pounds

Job Responsibilities

  • Maintain proper inventory levels by submitting on line order, adding and adjusting order points, order quantities and on-hand counts in the computer and assisting manager in preparation of physical inventories
  • Maintain a neat and clean work environment to ensure Company and government requirements are met.
  • File written prescriptions daily.
  • Assist Team Members with tasks to ensure department runs efficiently.
  • Review all appropriate service and business metrics and assist team on action plans to improve outcome.
  • Perform all regular duties of Pharmacy Technician.
  • Welcome and acknowledge patients at all pharmacy entry points immediately and with compassion and a smile.
  • Model excellent patient care by respecting, engaging and enthusiastically meeting or exceeding all patient needs including processing orders in person and by phone, directing patients to products and merchandise and referring appropriate questions concerning prescriptions and over the counter medicine to the pharmacist.
  • Finalize sales using cash register according to established procedures including the point of sale policies.
  • Perform all supporting duties to contribute to the safe and efficient dispensing of all patient medication and durable medical equipment by following all quality assurance policy and procedures including the selection and counting of medication.
  • Comply with all Giant Eagle and Pharmacy policies including HIPAA and pseudoephedrine regulations.
  • Enter patient personal data and insurance information.
  • Enter all prescription information including calculations, free form directions, medication and durable medical equipment specifications.
  • Ensure proper documentation for transmitting information to insurance companies, reviewing profiles for appropriate billing choices.
  • Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party rejections and rebilling claims, entering and processing refills and adding patients to Refills on Time Program.
  • Process medical expense reports.
  • Assist in the execution of all company initiatives and programs.

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