Pharmacy Claims Coordinator

HCM Nexus Consulting

Full-time Cebu City, Central Visayas Information and Record Clerks

Posted:

June 08, 2026

Location:

Cebu City, Central Visayas, Philippines

Job Description

We're looking for a Pharmacy Claims Auditor to safeguard our claims data and prevent fraud. You'll conduct audits, analyze billing activities, and ensure compliance with regulations.
What Youll Do:

Conduct desk and on-site pharmacy audits.
Review claims for errors, discrepancies, or fraud.
Communicate with pharmacies to resolve billing issues.
Prepare audit reports and recommend corrective actions.
Document findings and ensure client invoicing accuracy.

What You'll Bring:

Bachelor's degree + 1 year pharmacy experience (Long Term Care, Specialty, or Mail Order a plus).
Pharmacy Technician license required; national certification preferred.
Strong knowledge of pharmacy practice, laws, and regulations.
Proficient in MS Office; SQL/SAS knowledge a plus.
Excellent analytical, problem-solving, and communication skills.

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Job Overview

Job Type: Full-time

Location: Cebu City, Philippines

Posted: June 08, 2026

Deadline: July 18, 2026