Certified Pharmacy Billing Adjudicator - Evening Shift

Remote Full-time
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 Now

Apply Now
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

**Senior Program Manager, Customer Service Contact Reduction, Self-Service and Automation, Customer Engagement Technologies at arenaflex**

Remote

Immediately Require Marketing Data & Analytics Senior Advisor - Medicare - Work from Home in USA

Remote

Squarespace 7.1 Web Designer + Brand Integrator (Help Unite Two Sites & Set Up LW Subdomain)

Remote

Onboarding Technician I (Night Shift /M-F)

Remote

Adjunct - Online Course Developers and Instructors for Certificate in Expressive Arts Therapy

Remote

**Experienced Customer Service Representative – Email, Chat, and Voice Support for Electric Vehicle Startup**

Remote

B2B High-Ticket Closer

Remote

Remote Customer Support Representative

Remote

Senior IAM Security Architect - Remote

Remote

Wholesale Jumbo Underwriter - Remote

Remote
← Back