Hybrid Pharmacy Claims Adjudication Specialist

Onco360 Oncology Pharmacy; Buffalo (NY); Hybrid; USD 26,139 - 37,229; Full time

Benefits offered by this job

401k with a match

Paid Time Off

Tuition Reimbursement

Company paid benefits

Job summary

A specialty pharmacy in Buffalo, NY is seeking a Pharmacy Claims Adjudication Specialist to adjudicate pharmacy claims and resolve insurance rejections. The ideal candidate should have at least 1+ years of pharmacy experience and a High School Diploma or GED. This is a Full-Time hybrid position offering benefits like a 401k with a match, Paid Time Off, and Tuition Reimbursement. Starting salary begins at $23.00 per hour, with opportunities for growth.

Qualifications

• 1+ years of experience in Pharmacy/Healthcare Setting or pharmacy claims experience.
• Registration with Board of Pharmacy as required by state law.
• Independent worker with excellent communication skills.

Responsibilities

• Adjudicate pharmacy claims and review claim responses for accuracy.
• Contact insurance companies to resolve third-party rejections.
• Ensure copay cards are applied only to eligible claims.

Skills

Pharmacy/NDC medication billing

Pharmacy claims resolution

Knowledge of Medicare, Medicaid, and commercial insurance

Basic math and analytical skills

Intermediate typing/keyboarding skills

Education

High School Diploma or GED

Associate degree or equivalent

Job description

A specialty pharmacy in Buffalo, NY is seeking a Pharmacy Claims Adjudication Specialist to adjudicate pharmacy claims and resolve insurance rejections. The ideal candidate should have at least 1+ years of pharmacy experience and a High School Diploma or GED. This is a Full-Time hybrid position offering benefits like a 401k with a match, Paid Time Off, and Tuition Reimbursement. Starting salary begins at $23.00 per hour, with opportunities for growth.