Pharmacy Rejections Specialist: Claims Resolution

SpecialtyRx, Inc; Morton Grove (IL); Vor Ort; USD 42.000 - 65.000; Vollzeit

Benefits dieser Stelle

Health insurance

Dental insurance

Vision insurance

Group life insurance

Short-term disability

Paid time off

Paid holidays

401(k) with company match

Paid training and development

Collaborative work environment

Zusammenfassung

SpecialtyRx, Inc. in Morton Grove, IL is seeking a Third-Party Rejections Specialist focused on hands-on management of third-party insurance rejections. You will research eligibility, verify coverage, and resolve rejections to keep claims moving efficiently.

Candidates must reside in Illinois. The role requires meticulous attention to detail, strong problem-solving, and the ability to work independently or with the billing team to meet daily targets.

Qualifikationen

• Must have hands-on experience working with third-party pharmacy insurance rejections.
• Experience with billing systems and navigating multiple software platforms is required.
• Strong attention to detail and problem-solving abilities are essential.

Aufgaben

• Research and verify patient eligibility and insurance coverage with state and private providers.
• Research, analyze, and resolve third-party insurance rejections in daily rejection reports.
• Maintain and update patient billing, insurance, and coverage information in the system.

Kenntnisse

Third-party rejection handling

Insurance research

Attention to detail

Phone communication

Independent & team work

Multitasking

Organizational skills

Ausbildung

High school diploma or equivalent

Tools

ECM Frameworks

Jobbeschreibung

SpecialtyRx, Inc. in Morton Grove, IL is seeking a Third-Party Rejections Specialist focused on hands-on management of third-party insurance rejections. You will research eligibility, verify coverage, and resolve rejections to keep claims moving efficiently.

Candidates must reside in Illinois. The role requires meticulous attention to detail, strong problem-solving, and the ability to work independently or with the billing team to meet daily targets.