Certified Pharmacy Billing Adjudicator - Evening Shift
The MAC Rx Billing department is seeking a LTC Pharmacy Adjudicator to join the team! The ideal candidate will be thrive in a fast-paced environment, be able to multi-task and holds experience in a long term care pharmacy with multiple aspects of adjudication. • *We are currently recruiting for the Evening shift • *Hours: 6pm - 2:30am and/or 4:30pm - 1am** Job duties include: -Process all admissions including demographics and insurance -Assist with all customer billing inquires in a courteous and professional manner -Understand and work with residents on account balances and patient records -Follow all applicable government regulations including HIPPA -Work with clients to ensure timely delivery of patient medications -Work live claim adjudication Job requirements include: -Knowledgeable in Medicare Part D, public aid and third-party insurances -Knowledge of Prior Authorizations -Ability to adjudicate claims efficiently -Knowledge of adjudication process for LTC pharmacy is required -Knowledge of federal and state pharmacy laws and guidelines -Strong attention to detail -Self-motivated and able to work independently -1 to 3 years of LTC pharmacy experience required -Pharmacy Technician License required -Ability to work weekends/holidays This is a full time position with a competitive salary and full suite of benefits. Benefits include access to health, dental, vision, long-term disability, short-term disability and life insurance, company-matching 401(k) plan and paid time off. Please apply today! Job Type: Full-time Pay: $19.00 - $21.00 per hour Benefits: • 401(k) matching • Dental insurance • Health insurance • Life insurance • Paid time off • Vision insurance Experience: • Framework LTC software: 1 year (Preferred) • LTC pharmacy: 1 year (Required) License/Certification: • Pharmacy Technician Certification (Required) • Illinois Pharmacy Technician License (Required) Work Location: Remote Apply tot his job