Claims Reconciliation Coordinator

Red River Pharmacy Services; Texarkana (TX); On-site; USD 50,000 - 65,000; Full time

Benefits offered by this job

Competitive Pay

Comprehensive Benefits Package

Mon-Fri schedule (No Weekends)

Professional and Supportive Work Env.

Opportunities for Growth and Advanc e

Job summary

Red River Pharmacy is seeking a detail-oriented Claims Reconciliation Coordinator to join our in-office team. This full-time role runs Monday through Friday, 8:00 AM to 5:00 PM, offering a stable daytime schedule and opportunities to grow within the company.

You will reconcile insurance claims, verify patient benefits, handle prior authorizations, and communicate with insurance companies, providers, and internal departments to resolve issues.

Qualifications

• Experience with insurance verification and prior authorizations preferred.
• Experience with pharmacy claims reconciliation or medical billing preferred.
• Strong organizational skills and attention to detail.
• Excellent communication and problem-solving abilities.
• Ability to work independently while managing multiple priorities.
• Proficient with computer systems and Microsoft Office applications.
• Licensed Pharmacy Technician preferred, but not required.

Responsibilities

• Reconcile insurance claims and identify billing discrepancies.
• Investigate and resolve claim rejections and payment issues.
• Verify patient insurance eligibility and benefits.
• Complete insurance prior authorizations in a timely manner.
• Communicate with insurance companies, providers, and internal departments to resolve claim issues.
• Maintain accurate documentation and records.
• Ensure compliance with pharmacy and insurance regulations.
• Assist with additional billing and reimbursement tasks as assigned.

Skills

Insurance verification

Prior authorizations

Billing reconciliation

Documentation

Communication

Microsoft Office

Independent worker

Pharmacy tech

Tools

Pharmacy software

General office software

Job description

Red River Pharmacy is seeking a detail-oriented and motivated Claims Reconciliation Coordinator to join our growing team. This is a full-time, in-office position working Monday through Friday, 8:00 AM – 5:00 PM.

Position Responsibilities

• Reconcile insurance claims and identify billing discrepancies.
• Investigate and resolve claim rejections and payment issues.
• Verify patient insurance eligibility and benefits.
• Complete insurance prior authorizations in a timely manner.
• Communicate with insurance companies, providers, and internal departments to resolve claim issues.
• Maintain accurate documentation and records.
• Ensure compliance with pharmacy and insurance regulations.
• Assist with additional billing and reimbursement tasks as assigned.

Qualifications

• Previous experience with insurance verification and prior authorizations is strongly preferred
• Experience with pharmacy claims reconciliation or medical billing is preferred.
• Strong organizational skills and attention to detail.
• Excellent communication and problem-solving abilities.
• Ability to work independently while managing multiple priorities.
• Proficient with computer systems and Microsoft Office applications.
• Licensed Pharmacy Technician preferred, but not required.

What We Offer

• Competitive Pay
• Comprehensive Benefits Package
• Monday–Friday Schedule (No Weekends)
• Professional and Supportive Work Environment
• Opportunities for Growth and Advancement