Pharmacy Claims Specialist

1 month ago


Eagan, Minnesota, United States CONSONUS PHARMACY SERVICES Full time
Claims Adjudication Specialist

We are seeking a highly skilled Claims Adjudication Specialist to join our team at Consonus Pharmacy Services. As a Claims Adjudication Specialist, you will be responsible for processing Medicare, Medicaid, and insurance claims for payment, interpreting claims rejections and insurance denials, and training to be an expert in pharmacy benefits to problem solve and resolve insurance issues.

Key Responsibilities:
  • Process and analyze claims for payment
  • Interpret and resolve claims rejections and insurance denials
  • Train to be an expert in pharmacy benefits and insurance processing
  • Communicate with internal staff and external partners regarding claims and insurance issues
Requirements:
  • High School Diploma or equivalent
  • Pharmacy Technician License and National Certification required
  • 1-year coding and insurance processing experience preferred
  • Strong written and oral communication skills required
  • Strong organizational and analytical skills required

We offer a competitive salary and benefits package, including health insurance, dental insurance, vision insurance, disability insurance, PTO, and 401(K) with match. If you are a motivated and detail-oriented individual with a passion for problem-solving, we encourage you to apply for this exciting opportunity.



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