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Pharmacy Technician: Claims Adjudication Specialist
1 month ago
Do you like to problem solve and can’t stop until you figure it out? Does working with insurance companies make your day? Want to find a company that values their employees? A company that REALLY values them Looking to find a company you’ll be proud to be a part of? Ever had a position that involved patient billing or adjudicating accounts? If you answered yes, then we want to meet you Our long-term care pharmacy is looking to add only exceptional people to our team.
What will a Claims Adjudication Specialist do every day?
- Process Medicare, Medicaid, Hospice and Insurance claims for payment
- Interpret claims rejections and insurance denial
- Contact Insurance and Hospice plans for clarification and overrides
- Train to be an expert in pharmacy benefits to problem solve and resolve insurance issues
- Communicate with internal staff regarding claims rejections and Refill too soon out comes
- Assist with DME claims adjudication
Claims Adjudication Specialist minimum requirements will include:
High School Diploma, or equivalent
- Pharmacy Technician License and National Certification required
- 1-year coding and insurance processing experience preferred
- 1-year word processing and/or data entry experience required
- 1-year customer service experience required
- Knowledge of Medicare, Medicaid, coding and insurance processing a plus but will train
- Knowledge of DME claims processing a plus but will train
- Strong written and oral communication skills required
- Strong organizational and analytical skills required
- Must be able to actively contribute to a positive team environment Must be a self-starter with the ability to handle multiple tasks, remain focused, and work independently
- Must be detail oriented, and able to thrive in a fast-paced environment
- Only an individual who is reliable and have a solid work history will be seriously considered for the position. A completed pre-employment drug screen and background check will be conducted.
- This hourly position requires a schedule of Monday thru Friday with a rotating schedule between the hours of 7am to 6:30pm, with rotating weekend shifts. Flexibility is a must for rotating weekday and weekend shifts.
Benefits:
- Health Insurance
- Dental Insurance
- Vision Insurance
- Disability Insurance
- PTO
- 401(K) & Match
- Work/Life Balance
- Opportunity for Continuing Education
Our Company is Consonus Pharmacy
We are pioneers in long-term care pharmacy and continue to revolutionize the industry through innovative technology and personal innovative services. We pride ourselves in hiring exceptional individuals who are proactive and forward-thinking team players. Successful employees in the company are committed to playing a key role in keeping Consonus Pharmacy at the top of our industry. We are passionate about long-term care and actively build partnerships with our clients. Maintaining our positive work place culture is also true business success.
Consonus Pharmacy is an Equal Opportunity Employer
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