Hybrid Pharmacy Claims Adjudication Specialist

Onco360; Louisville (KY); Hybrid; USD 42,000 - 52,000; Full time

Benefits offered by this job

401k with match

Paid Time Off and Holidays

Tuition Reimbursement

Company paid life and disability

Job summary

Onco360 is seeking a Pharmacy Claims Adjudication Specialist in Louisville, KY for a full-time, hybrid role. You will adjudicate pharmacy claims, review responses for accuracy, and manage third-party rejections to ensure timely medication delivery.

The position offers a starting wage of $21.00 per hour with a $5,000 sign-on bonus for hires before 10/31/2026 and a benefits package including 401k, PTO, tuition reimbursement, and company-paid life and disability insurance.

Qualifications

• Required: High School Diploma or GED; Pharmacy/Healthcare or pharmacy claims experience.
• Desired: Associate degree or equivalent; Certified Pharmacy Technician; Specialty pharmacy experience.

Responsibilities

• Adjudicates pharmacy claims for active workflow across primary, secondary, and tertiary plans.
• Reviews claim responses for accuracy before accepting the claim.
• Contacts insurance companies to resolve third-party rejections and ensures timely shipping of medications.

Skills

Pharmacy/NDC billing

Pharmacy claims resolution

Coordination of benefits

Medicare knowledge

Medicaid knowledge

Claim rejection resolution

ROMAN numerals/ sig codes

Basic math

Time management

Education

High School Diploma or GED

Associate degree or equivalent program

Certified Pharmacy Technician (PTCB)

Tools

CPR+ system

Job description

Onco360 is seeking a Pharmacy Claims Adjudication Specialist in Louisville, KY for a full-time, hybrid role. You will adjudicate pharmacy claims, review responses for accuracy, and manage third-party rejections to ensure timely medication delivery.

The position offers a starting wage of $21.00 per hour with a $5,000 sign-on bonus for hires before 10/31/2026 and a benefits package including 401k, PTO, tuition reimbursement, and company-paid life and disability insurance.