Job Summary
The Pharmacy Adjudication Specialist plays a key role in the management of pharmacy claims by adjudicating them effectively and addressing third-party rejections. This position ensures correct coordination of benefits and engages in outreach to patients regarding any medication delivery delays, as well as handling inquiries related to financial responsibilities.
Responsibilities
- Adjudicate pharmacy claims and resolve third-party claim rejections.
- Ensure accurate coordination of benefits for patients.
- Conduct patient outreach to inform about medication delivery delays.
- Manage inquiries concerning financial responsibilities related to medications.
Qualifications
- High School Diploma or GED is required.
- A minimum of 2 years of experience in a pharmacy or healthcare environment.
- Proficiency in pharmacy claims resolution and knowledge of insurance processes.
- Strong analytical skills are essential for the role.
Onco360 provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
