Remote Oncology Pharmacy Claims Adjudication Specialist

JobRx, Inc.; Burlington (VT); Hybrid; USD 28,413 - 40,467; Full time

Benefits offered by this job

Medical, Dental, Vision

401k with a match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Company paid life and disability benefits

Job summary

JobRx, Inc. is searching for a Pharmacy Adjudication Specialist to join our Specialty Oncology pharmacy team in Burlington, Vermont. This full-time position may include remote work and offers competitive benefits.

Your primary responsibilities will include adjudicating pharmacy claims, resolving insurance rejections, and providing patient outreach notifications. The starting pay is $25 per hour, with a potential $5,000 sign-on bonus for qualified applicants.

We seek candidates with a High School Diploma or equivalent and at least two years of experience in a pharmacy or healthcare setting.

Qualifications

• 2+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience.
• High School Diploma or GED; Certified Pharmacy Technician preferred.

Responsibilities

• Adjudicate pharmacy claims and resolve third-party rejections.
• Provide timely responses to pharmacy operations and patient queries.
• Ensure accurate patient setup in CPR+ system.

Skills

Pharmacy/NDC medication billing

Pharmacy claims resolution

Knowledge of Medicare, Medicaid, and commercial insurance

NCPDP claim rejection resolution

Basic math and analytical skills

Intermediate typing/keyboarding skills

Education

High School Diploma or GED

Certified Pharmacy Technician

Associate degree from a 2-year program or technical school

Job description

JobRx, Inc. is searching for a Pharmacy Adjudication Specialist to join our Specialty Oncology pharmacy team in Burlington, Vermont. This full-time position may include remote work and offers competitive benefits.

Your primary responsibilities will include adjudicating pharmacy claims, resolving insurance rejections, and providing patient outreach notifications. The starting pay is $25 per hour, with a potential $5,000 sign-on bonus for qualified applicants.

We seek candidates with a High School Diploma or equivalent and at least two years of experience in a pharmacy or healthcare setting.