Pharmacy Billing Adjudicator

Remote Full-time
CVS Health is seeking an experienced Pharmacy Billing Adjudicator to join our team. The ideal candidate will have a passion for providing accurate and timely billing services that exceed customer expectations. We are looking for a professional with a strong work ethic, excellent problem-solving skills, and strong customer service focus. The Pharmacy Billing Adjudicator will be responsible for reviewing pharmacy transactions, claims, and billing.The successful candidate must have a minimum of 3 years' experience in pharmacy billing, adjudication, and/or insurance reimbursement. They must also have a thorough understanding of pharmacy laws, regulations, and contractual requirements. A strong work ethic, excellent communication skills, and the ability to multitask are essential. In addition, the individual must possess a high degree of accuracy and attention to detail.

Responsibilities:

Review pharmacy transactions, claims, and billing.
Provide accurate and timely billing services that exceed customer expectations.
Ensure compliance with all relevant pharmacy laws, regulations, and contractual requirements.
Maintain records of all billing activities.
Provide excellent customer service by responding to inquiries in a timely manner.
Utilize problem-solving skills to resolve billing issues.
Maintain a high degree of accuracy and attention to detail.
Monitor and adjust billing procedures as needed.
Ensure accurate and timely billing of third-party payers.
Maintain regular communication with pharmacy staff and billing customers.

CVS Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

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

Occupational Therapist

Remote

Deputy Legal Director (Legal Dispute and Resolution Administrator 1)

Remote

**Experienced Customer Service Representative - Work from Home Opportunity at arenaflex**

Remote

[Work From Home] (Online Virtual Remote Job) Disney Data Entry

Remote

[Remote] Senior Event Marketing Manager-WEST

Remote

**Experienced Virtual Assistant – Remote Data Entry Specialist for arenaflex**

Remote

DevOps Engineer

Remote

Nursing Assistant - Acute Care – Amazon Store

Remote

Part-time Nights/Weekends, Remote/Hybrid, Customer Service Representative

Remote

Remote Insurance Sales

Remote
← Back