Hybrid Pharmacy Claims Adjudication Specialist

Onco360 Oncology Pharmacy; Seattle (WA); On-site; USD 22,730 - 32,373; Full time

Benefits offered by this job

401k with a match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Company paid benefits – life and disability

Job summary

A leading oncology pharmacy is seeking a Pharmacy Claims Adjudication Specialist. The role involves adjudicating claims, resolving insurance issues, and ensuring timely medication delivery. Required skills include pharmacy claims resolution and excellent communication. This full-time position offers a hybrid work model based in Scottsdale, AZ, with benefits including 401k matching and paid time off.

Qualifications

• 1+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience.
• Knowledge/understanding of pharmacy terminology including sig codes.

Responsibilities

• Adjudicate pharmacy claims and ensure accuracy.
• Resolve third-party insurance claim rejections.
• Provide customer service regarding medication deliveries.

Skills

Pharmacy/NDC medication billing

Pharmacy claims resolution

Knowledge of Medicare, Medicaid, and commercial insurance

Basic math and analytical skills

Education

High School Diploma or GED

Associate degree or equivalent

Job description

A leading oncology pharmacy is seeking a Pharmacy Claims Adjudication Specialist. The role involves adjudicating claims, resolving insurance issues, and ensuring timely medication delivery. Required skills include pharmacy claims resolution and excellent communication. This full-time position offers a hybrid work model based in Scottsdale, AZ, with benefits including 401k matching and paid time off.