Remote - LTC Pharmacy Adjudication Technician

Symbria; Woodridge (IL); Remote; USD 40,000 - 60,000; Full time

Job summary

Join a leading employee-owned healthcare provider as a Remote LTC Pharmacy Adjudication Technician. You will communicate with communities about medication orders, maintain records, and coordinate claims. Enjoy a supportive work environment with competitive pay and benefits.

Benefits

Comprehensive benefits

401(k) and Roth plans

Continuing education

Credit union membership

Qualifications

• Minimum one year of data entry experience.
• Pharmacy Technician License required within 60 days of hire.

Responsibilities

• Communicate with communities regarding medication orders.
• Review Medicare D rejections and coordinate claim adjudication.
• Maintain detailed records of communications.

Skills

Customer Service

Communication

Organization

Multitasking

Education

High School diploma or GED

Pharmacy Technician License

Tools

Microsoft Office

Job description

Join to apply for the Remote - LTC Pharmacy Adjudication Technician role at Symbria

Symbria Rx Services is seeking a team-oriented individual. As one of the few 100% employee-owned companies in healthcare, our practices are guided by our core values. For over 20 years, Symbria has provided an outstanding work environment for talented employees delivering patient-centered care to the geriatric population in senior-living and post-acute settings.

Overview

The LTC Pharmacy Adjudicator is responsible for communicating with communities about order exceptions such as non-formulary, expensive medications, and incomplete orders. This role involves working closely with community staff to clarify orders and suggest less expensive alternatives, coordinating Medicare D claims adjudication, and maintaining accurate, timely billing and account updates.

Working Schedule

• 12:00pm-8:30PM Mon-Fri and every 3rd weekend 2:30PM-11PM.
• Must work holidays.
• Must currently reside in a state where Symbria Rx Services is licensed: AZ, CO, FL, IL, IN, KS, MA, MI, MO, PA, OH, WI.
• 100% Remote.

Responsibilities

• Communicate with communities regarding medication orders, educate on alternatives, and clarify incomplete orders.
• Maintain detailed records of communications and follow up as needed.
• Follow policies for medication changes and clarifications.
• Engage professionally with community management staff via phone or email.
• Assist with data entry and answer calls for the data entry department.
• Review Medicare D rejections, coordinate claim adjudication, and resolve denials.
• Prepare for formulary changes and perform insurance and billing duties.
• Act as liaison between patients and third parties.
• Collaborate with team members and provide backup support to other departments as needed.

Qualifications

• High School diploma or GED.
• Pharmacy Technician License and/or Certification (CPhT) as per state requirements (licensed in Illinois and Massachusetts within 60 days of hire).
• Minimum one year of data entry experience.
• Excellent customer service and communication skills.
• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Ability to organize, multitask, and prioritize.
• Strong knowledge of drugs and medical terminology.

Preferred Qualifications

• Prescription billing experience (minimum one year).

Why work for us?

At Symbria, employees act like owners! As a 100% employee-owned healthcare provider, we focus on delivering top-tier services in Pharmacy, Rehabilitation, and Well-Being, aiming to improve lives in senior-living and post-acute communities. Our core values include integrity, compassion, stewardship, innovation, and teamwork.

We offer competitive pay, comprehensive benefits, professional liability coverage, a 100% employer-funded ESOP retirement plan, 401(k) and Roth plans, continuing education, and credit union membership.

We are committed to equal opportunity employment without discrimination based on race, color, religion, sex, sexual orientation, marital status, national origin, citizenship, age, disability, military status, or discharge.