You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
Skills: Administrative support, Clerical duties, Record maintenance, Confidentiality, Data entry
San Luis Obispo, California, United States · On-site
Mid level
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
Licensed Psychiatric Technician (LPT) or Licensed Vocational Nurse (LVN)
Fresno, California, United States · On-site
$36/hr–$40/hr
Entry level
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
Skills: Patient care, Clinical documentation, Medication administration, Treatment planning, Phlebotomy
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
Skills: Healthcare quality assurance, Auditing, Data analysis, Regulatory compliance, Medical record review
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
Skills: Clinical care, Patient assessment, Treatment planning, EMR documentation, Acute care
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
Skills: Nursing, Patient care, Clinical supervision, Health status data collection, Nursing diagnosis
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
Licensed Practical Nurse LPN - 8 hour evenings full time
West Boylston, Massachusetts, United States · On-site
$44/hr–$47/hr
Entry level
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
West Boylston, Massachusetts, United States · On-site
$44/hr–$47/hr
Entry level
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports:• Ca…
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Full-time
high school, associate degree
Medical, Dental, Vision, Paid time off, 401k, DailyPay
Posted 14d ago
Apply by Jul 28
~40 hrs/week
Responsibilities
The Pharmacy Claims Reconciliation Specialist is responsible for reconciling pharmacy claims and insurance payments to ensure reimbursement accuracy and resolve billing discrepancies. This role acts as a liaison between pharmacy, finance, and operational teams to validate claim adjudication and maintain the integrity of reimbursement data.
Requirements
Candidates must have a high school diploma or equivalent, with an associate degree being a plus. Two to four years of experience in pharmacy billing, claims processing, or revenue cycle management is required.
Full job description
You Matter
Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities
Join us and find a career that supports:• Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training
Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans
*Eligibility for perks and benefits varies based on employee type and length of service.
Why Us
Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.
Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan.
We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.
How you make a difference
The Pharmacy Claims Reconciliation Specialist is responsible for reconciling pharmacy claims and insurance payments to ensure reimbursement accuracy and resolve billing discrepancies. This role serves as a key liaison between pharmacy, finance, and operational teams by validating claim adjudication, researching payment variances, and maintaining the integrity of reimbursement data. The position supports revenue cycle activities through detailed analysis of claims, payments, denials, and reimbursement trends. The Pharmacy Claims Reconciliation Specialist also helps improve processes, ensure compliance, and support accurate financial reporting.
Key Responsibilities
Reconcile pharmacy claims and insurance payments by comparing expected reimbursements to actual payments and identifying discrepancies such as underpayments, overpayments, duplicate payments, and missing payments.
Research and analyze claim denials, payment variances, and reimbursement trends to determine root causes and recommend corrective actions.
Coordinate with pharmacy providers and other stakeholders to investigate and resolve payment discrepancies and outstanding billing issues.
Support revenue cycle operations through claims reconciliation, reimbursement validation, month-end activities, audit documentation, and payment file reviews.
Generate reports on reimbursement performance, denial trends, recovery opportunities, and payment activity while identifying process improvement and automation opportunities.
Additional Details
Certified Pharmacy Technician (CPhT) is preferred
Qualifications & Requirements
Education
High school diploma or equivalent required.
Experience as a Certified Pharmacy Technician (CPhT) preferred.
Associate degree in Healthcare Administration, Business, Accounting, Finance, Pharmacy Billing, or a related field is a plus.
Experience
Two to four years of experience in pharmacy billing, claims processing, revenue cycle, payment posting, or insurance reconciliation.
Experience reconciling pharmacy claims preferred.
Experience with Medicaid, Medicare, and commercial insurance plans.
Pharmacy claims reconciliation experience is highly desirable.
Licenses/Certifications
None required.
We are an Equal Employment Opportunity Employer
We are committed to fostering, cultivating, and preserving a culture of uniqueness.
We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees.
We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.
Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description.
We are an Affirmative Action Employer in accordance with applicable state and local laws.
Our mission is to provide quality care to every patient with compassion, collaboration and innovation.
Industry
Hospitals and Health Care
Company size
5,001-10,000 employees
Founded
2003
Headquarters
Franklin, Tennessee
LinkedIn followers
40,500
NOW IS YOUR MOMENT TO MAKE A DIFFERENCE!
Join our Wellpath family and make a difference every day by providing care to society’s most vulnerable and often overlooked individuals. Our team has the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those of you whose calling it is to serve others, we get it, it is ours too. This is your moment not only to advance your career but to join a mission that aligns with your own. We are Wellpath. We are the right people, striving to do the right thing. We will continue to create healthier communities — wherever we go, wherever we grow — one patient at a time.
“You have not lived today until you have done something for someone who can never repay you.” - John Bunyan
Wellpath is the premier provider of localized, high-quality, compassionate care to vulnerable patients in challenging clinical environments. Wellpath holds patients at the center of everything we do and promotes rigorous standards of care and innovation. With more than 8,000 clinicians and professionals in 37 states across the U.S., Wellpath provides medical and mental healthcare services for over 200,000 patients daily in local, state, and federal correctional facilities. Learn more at https://wellpathcare.com
Offices: 6550 Carothers Pkwy, Franklin, Tennessee 37067, US
Our mission is to provide quality care to every patient with compassion, collaboration and innovation.
Industry
Hospitals and Health Care
Company size
5,001-10,000 employees
Founded
2003
Headquarters
Franklin, Tennessee
LinkedIn followers
40,500
NOW IS YOUR MOMENT TO MAKE A DIFFERENCE!
Join our Wellpath family and make a difference every day by providing care to society’s most vulnerable and often overlooked individuals. Our team has the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those of you whose calling it is to serve others, we get it, it is ours too. This is your moment not only to advance your career but to join a mission that aligns with your own. We are Wellpath. We are the right people, striving to do the right thing. We will continue to create healthier communities — wherever we go, wherever we grow — one patient at a time.
“You have not lived today until you have done something for someone who can never repay you.” - John Bunyan
Wellpath is the premier provider of localized, high-quality, compassionate care to vulnerable patients in challenging clinical environments. Wellpath holds patients at the center of everything we do and promotes rigorous standards of care and innovation. With more than 8,000 clinicians and professionals in 37 states across the U.S., Wellpath provides medical and mental healthcare services for over 200,000 patients daily in local, state, and federal correctional facilities. Learn more at https://wellpathcare.com
Offices: 6550 Carothers Pkwy, Franklin, Tennessee 37067, US