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.
Ā• *We are currently recruiting for the Evening shift
Ā• *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

Benefits:
Ā• 401(k) matching
Ā• Dental insurance
Ā• Health insurance
Ā• Life insurance
Ā• Paid time off
Ā• Vision insurance

Schedule:
Ā• 8 hour shift

Experience:
Ā• LTC pharmacy: 1 year (Preferred)
Ā• Framework LTC software: 1 year (Preferred)

License/Certification:
Ā• Pharmacy Technician Certification (Required)
Ā• Illinois Pharmacy Technician License (Preferred)

Work Location: Remote

Apply Now

Apply Now →

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