Remote-Eligible Pharmacy Claims Adjudication Specialist

Onco360; Columbus (OH); Remote; USD 48,000 - 60,000; Full time

Benefits offered by this job

401k with match

PTO and holidays

Tuition reimbursement

Company paid life and disability

Job summary

Onco360 is seeking a Pharmacy Claims Adjudication Specialist in Columbus, OH. The role requires OH Pharmacy Technician credentials and offers a full-time schedule with potential remote work between 8am and 8pm.

Starting pay is $23/hour with a $5,000 sign-on bonus for hires before December 31, 2026. The position includes benefits such as 401k, PTO, tuition reimbursement, and company-paid life and disability coverage.

Qualifications

• Required: High School Diploma or GED; experience in Pharmacy, Medical Billing, or Benefits Verification.
• Desired: Associate degree or equivalent; Certified Pharmacy Technician; Specialty pharmacy experience.

Responsibilities

• Adjudicate pharmacy claims for primary, secondary, and tertiary plans.
• Resolve third-party rejections to allow timely shipping of medications.
• Provide patient outreach regarding delays in medication delivery due to insurance claim rejections.
• Ensure complete patient setup in CPR+ with demographics and insurance data.
• Communicate copay details and collect payments when applicable.

Skills

Pharmacy claims

Coordination of benefits

Medicare/Medicaid knowledge

Customer service

Education

High School Diploma or GED

Certified Pharmacy Technician

Tools

CPR+ system

Job description

Onco360 is seeking a Pharmacy Claims Adjudication Specialist in Columbus, OH. The role requires OH Pharmacy Technician credentials and offers a full-time schedule with potential remote work between 8am and 8pm.

Starting pay is $23/hour with a $5,000 sign-on bonus for hires before December 31, 2026. The position includes benefits such as 401k, PTO, tuition reimbursement, and company-paid life and disability coverage.