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Jobs at ProCare Rx (Now Hiring) — 9 open

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QA Specialist

Hall County, Georgia, United States · On-site

Mid level

Essential Duties and Responsibilities Included but not limited to the following: Execute QA-related tasks and processes in the QA department. Run weekly reports to validate plan flags are set appropriately. Run billing r…

Skills: Quality Assurance, Analytical Skills, Proofreading, Written Communication, Verbal Communication

ProCare Rx logoProCare Rx

Patient Services Representative

Hall County, Georgia, United States · On-site

Entry level

LOCATION: Onsite in Gainesville, GA SHIFT: Monday - Friday, 10:00 AM - 7:00 PM HOURLY RATE: $16.00 The Patient Services Representative (PSR) is responsible for inbound and outbound calls/emails/text for a variety of acti…

Skills: Inbound Calls, Outbound Calls, Insurance Verification, Patient Intake, Telephone Etiquette

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Customer Service Representative I

Hall County, Georgia, United States · On-site

Entry level

Location: Onsite in Gainesville, GA Regular Shift: 1:00PM – 10:00PM (Training will be 9:00AM – 6:00PM for the first weeks) Note: Weekend availability is required for one weekend day per week Job Type: Full-Ti…

Skills: Customer Service, Call Center Operations, Telephone Etiquette, Windows Applications, Verbal Communication

ProCare Rx logoProCare Rx

Director, Implementations & Benefit Quality

Hall County, Georgia, United States · On-site

Senior

Responsibilities include but are not limited to: Manage implementation and business quality assurance team members. Direct complex integration and implementation projects while meeting critical milestones. Delegate tasks…

Skills: Project Management, Implementation Management, Business Quality Assurance, Client Relationship Management, Benefit Design

ProCare Rx logoProCare Rx

Accounts Receivable & Collections Supervisor

Hall County, Georgia, United States · On-site

Mid level

Key Responsibilities Accounts Receivable Process customer invoices accurately and in a timely manner. Apply customer payments (checks, ACH, wire, credit card) to the correct accounts and invoices. Prepare daily cash rece…

Skills: Accounts Receivable, Collections, Billing, Cash Application, AR Aging Reports

ProCare Rx logoProCare Rx

Pharmacy Benefit Rep I - Entry Level

Southfield, Michigan, United States · On-site

Mid level

PRINCIPLE RESPONSIBILITIES include but are not limited to: Support multiple client program offerings Handling general client inquiries, service calls, and problem resolution, meeting EHIM’s performance standards Ef…

Skills: Customer Service, Benefit Authorizations, Communication Skills, Windows-based Applications, Analytical Skills

ProCare Rx logoProCare Rx

Call Center Representative

Southfield, Michigan, United States · On-site

Mid level

ESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following: Promptly and courteously answer inbound telephone calls Assess, prioritize and resolve client issues using good listening and comprehensi…

Skills: Customer Service, Call Center Operations, Problem Solving, Written Communication, Verbal Communication

ProCare Rx logoProCare Rx

Customer Service Representative I

Hall County, Georgia, United States · On-site

Entry level

Location: Onsite in Gainesville, GA Shift: 1:00PM – 10:00PM (Training will be 9:00AM – 6:00PM for the first weeks) Note: Weekend availability is required for one weekend day per week Job Type: Full-Time, Non-…

Skills: Customer Service, Call Center Operations, Telephone Etiquette, Verbal Communication, Written Communication

ProCare Rx logoProCare Rx

Customer Service Representative I

Hall County, Georgia, United States · On-site

Entry level

Location: Onsite in Gainesville, GA Shift: 1:00PM – 10:00PM (Training will be 9:00AM – 6:00PM for the first weeks) Note: Weekend availability is required for one weekend day per week Job Type: Full-Time, Non-…

Skills: Customer Service, Call Center Operations, Telephone Etiquette, Windows-based Applications, Verbal Communication

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QA Specialist

ProCare Rx

Hall County, Georgia, United States • On-site

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Mid level

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  • Full-time
  • professional certificate
  • Medical Insurance, Dental Insurance, Vision Insurance, Short-Term Disability Insurance, Long-Term Disability Insurance, Life Insurance
  • Posted 5d ago
  • ~40 hrs/week

Responsibilities

The QA Specialist is responsible for executing quality assurance tasks, validating plan flags and billing reports, and ensuring plan setups match client requests. They will also document testing procedures, create reports, and collaborate with various departments to implement necessary updates.

Requirements

A Certified Pharmacy Technician with at least one year of experience is desired, along with experience in system application testing and quality control. Candidates should possess strong analytical, proofreading, and communication skills, as well as proficiency in Google Workspace and Microsoft Office.

Full job description

Essential Duties and Responsibilities  Included but not limited to the following: 

  • Execute QA-related tasks and processes in the QA department.
  • Run weekly reports to validate plan flags are set appropriately.
  • Run billing reports to validate that all test claims have been reversed before the billing cycle commences.
  • Write reports that will produce accurate information needed to validate that plan setups are accurate.
  • Review all material at hand to determine if plan changes match requests from the client.
  • Work with various departments as needed to have plans updated to satisfy requested changes.
  • Document with test claims and reports the items that were tested and approved.
  • Write up testing procedures for new functionality.
  • Make presentations to your peers as a department learning tool.
  • Miscellaneous duties as requested

 

Qualifications and Requirements 

  • Certified Pharmacy Technician with at least one year experience desired.
  • Quality Control experience a plus.
  • Experience in testing system applications and reading results highly desired
  • Exceptional analytic skills desired.
  • Excellent proofreading skills.
  • Clear concise written and verbal communication skills a plus.
  • Ability to change gears mid steam and adapt to changes as items are reprioritized.
  • Excel, Word, Google Sheets, Google Calender skills a plus.
  • Knowledge of R&R Reports Works a plus.

Physical Demands 

  • Requires sitting, standing, and occasional light lifting.

The Perks of Joining Our Team:

We believe in taking care of our team.  You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:

  • Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
  • Time to Recharge: Paid vacation and holiday pay.
  • Focus on Your Wellness: We offer a robust Employee Wellness Program.
  • Invest in Your Future: 401(k) with a company match.
  • Support System: Employee Assistance Program provides confidential support and counseling.
  • Get Rewarded for Referring Great People:  Employee referral program.

Ready to start your rewarding journey with us? Apply today!

ProCare Rx will never ask for a financial commitment from an applicant as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our official recruitment team at [email protected]. 

ProCare Rx is an Equal Opportunity Employer

Related keywords

QA SpecialistCertified Pharmacy TechnicianQuality ControlSystem Application TestingBilling ReportsPlan ValidationR&R ReportsMicrosoft ExcelMicrosoft WordGoogle SheetsGoogle CalendarPharmacy BenefitsTest ClaimsDocumentationAnalytical Skills

About ProCare Rx

LinkedInVisit site
Industry
Hospitals and Health Care
Company size
201-500 employees
LinkedIn followers
3,630

ProCare Rx, a privately held leader in pharmacy claims processing, pharmacy benefit management (PBM), and clinical program design, has been empowering healthcare organizations since 1988. With offices in the U.S. and Puerto Rico, we provide customizable, cost-effective solutions tailored to the unique needs of self-insured employer groups, TPAs, pharmacies, health plans/systems, unions, and other industry leaders. Our commitment to ethical, transparent operations and long-lasting partnerships has made us a trusted partner in optimizing pharmacy benefits and clinical performance. To learn more about how ProCare Rx is bridging the gap between cost savings and clinical innovation, visit http://www.ProCareRX.com

Offices: Gainesville, US

Information TechnologyHealth Care
View all jobs at ProCare Rx

About ProCare Rx

LinkedInVisit site
Industry
Hospitals and Health Care
Company size
201-500 employees
LinkedIn followers
3,630

ProCare Rx, a privately held leader in pharmacy claims processing, pharmacy benefit management (PBM), and clinical program design, has been empowering healthcare organizations since 1988. With offices in the U.S. and Puerto Rico, we provide customizable, cost-effective solutions tailored to the unique needs of self-insured employer groups, TPAs, pharmacies, health plans/systems, unions, and other industry leaders. Our commitment to ethical, transparent operations and long-lasting partnerships has made us a trusted partner in optimizing pharmacy benefits and clinical performance. To learn more about how ProCare Rx is bridging the gap between cost savings and clinical innovation, visit http://www.ProCareRX.com

Offices: Gainesville, US

Information TechnologyHealth Care
View all jobs at ProCare Rx

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