Claims Adjudication Lead - Healthcare Impact

Curant Health Inc.; Smyrna (GA); Vor Ort; USD 42.000 - 64.000; Vollzeit

Benefits dieser Stelle

Paid holidays

Paid time off

Health benefits

Parental leave

Employee discounts

Zusammenfassung

Curant Health is seeking a Claims Adjudication Coordinator in Smyrna, GA to manage the adjudication of prescription claims across primary, secondary, and tertiary insurances. You will ensure accurate billing and timely processing to support patient care.

In this fast‑growing healthcare environment you will work with the Patient Care Coordinators, Pharmacy staff, and QA teams, handling exceptions, 340b compliance, copay assistance, and daily reporting to drive service excellence.

Qualifikationen

• High school diploma or equivalent required.
• Minimum 2 years of experience in pharmacy/claims adjudication.
• GA Pharmacy Technician registration required.

Aufgaben

• Perform billing and adjudication of prescription claims in Pioneer Rx.
• Review, apply, and rectify assignment of benefits for proper billing.
• Communicate with PCCs, PA team, and Pharmacy staff on exceptions.
• Run QA and daily reports to verify claim processing accuracy.

Kenntnisse

Attention to detail

Communication skills

Healthcare experience

Ausbildung

High school diploma or equivalent

Registered Pharmacy Technician GA

Tools

Pioneer Rx

Jobbeschreibung

Curant Health is seeking a Claims Adjudication Coordinator in Smyrna, GA to manage the adjudication of prescription claims across primary, secondary, and tertiary insurances. You will ensure accurate billing and timely processing to support patient care.

In this fast‑growing healthcare environment you will work with the Patient Care Coordinators, Pharmacy staff, and QA teams, handling exceptions, 340b compliance, copay assistance, and daily reporting to drive service excellence.