Job Summary
The Pharmacy Claims Adjudication Specialist plays a key role in processing pharmacy claims, addressing third-party rejections, and facilitating the accurate coordination of benefits. This position also entails managing communications with patients concerning medication delivery issues and serving as a point of contact for inquiries related to financial responsibilities.
Responsibilities
- Adjudicate pharmacy claims effectively.
- Resolve rejections from third-party entities.
- Ensure precise coordination of benefits for patients.
- Assist patients with inquiries about medication delivery delays.
- Act as a liaison for questions regarding financial responsibilities.
Qualifications
- High School Diploma or GED is required.
- A minimum of 2 years of experience in a pharmacy or healthcare environment.
- Proficiency in pharmacy billing and insurance processes.
- Strong analytical and effective communication skills.
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.
