Remote/Hybrid Pharmacy Claims Adjudication Specialist

Onco360; Scottsdale (AZ); Híbrido; USD 26 000 - 37 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

401k with match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Company paid benefits – life; and短和长期残

Resumo da oferta

Onco360 is seeking a Pharmacy Adjudication Specialist in Scottsdale, AZ. This full-time role offers a remote hybrid model after an initial onsite training period, with shift times between 8am and 8pm.

Starting salary is $23.00 per hour, plus a $5,000 sign-on bonus for those starting before December 31st, 2026. Benefits include 401k, PTO, tuition reimbursement, and company-paid life and disability insurance.

Qualificações

• Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication
• Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience
• Required: 2+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
• Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
• Required: Registration with Board of Pharmacy as required by state law
• Desired: Certified Pharmacy Technician (PTCB)

Responsabilidades

• Adjudicate pharmacy claims and review claim responses for accuracy.
• Ensure prescription claims are adjudicated correctly per coordination of benefits.
• Resolve third-party rejections and obtain overrides if appropriate.
• Notify patients about delays due to insurance claim rejections.
• Conduct outreach calls to patients/providers regarding claim status and delivery timelines.
• Ensure copay cards are applied only to eligible claims.

Formação académica

High School Diploma or GED

Associate degree or equivalent program

Certified Pharmacy Technician

Descrição da oferta de emprego

Onco360 is seeking a Pharmacy Adjudication Specialist in Scottsdale, AZ. This full-time role offers a remote hybrid model after an initial onsite training period, with shift times between 8am and 8pm.

Starting salary is $23.00 per hour, plus a $5,000 sign-on bonus for those starting before December 31st, 2026. Benefits include 401k, PTO, tuition reimbursement, and company-paid life and disability insurance.