Hybrid Pharmacy Claims Adjudication Specialist – $5K Sign-On

Onco360; Woodridge (IL); Hybrid; USD 27,000 - 39,000; 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 for our Woodridge, IL location. This full-time role requires hybrid work, with shift times between 8am and 8pm. Starting pay is $24.00 per hour and up, plus a $5,000 sign-on bonus for eligible hires.

You will adjudicate claims, resolve third-party rejections, and ensure accurate COB coordination while communicating with patients about financial responsibilities and delivery timing.

Qualifications

• High school diploma or GED required; pharmacy-related education valued.
• Pharmacy claims adjudication experience and PBM knowledge preferred.
• Certification as Pharmacy Technician desired.

Responsibilities

• Adjudicate pharmacy claims and review responses for accuracy.
• Resolve third-party rejections and obtain overrides when appropriate.
• Notify patients of delays due to insurance issues and coordinate shipping.
• Communicate with insurance companies to resolve copay and claim discrepancies.
• Maintain patient outreach regarding financial responsibilities prior to shipment.

Skills

Pharmacy claims resolution

NCPDP

Coordination of benefits

Customer service

Communication skills

Education

High School Diploma or GED

Certified Pharmacy Technician

Associate degree or equivalent

Tools

CPR+ system

Job description

Onco360 is seeking a Pharmacy Claims Adjudication Specialist for our Woodridge, IL location. This full-time role requires hybrid work, with shift times between 8am and 8pm. Starting pay is $24.00 per hour and up, plus a $5,000 sign-on bonus for eligible hires.

You will adjudicate claims, resolve third-party rejections, and ensure accurate COB coordination while communicating with patients about financial responsibilities and delivery timing.