Remote Oncology Pharmacy Claims Adjudication Specialist

JobRx, Inc.; Pittsburgh (Allegheny County); Hybrid; USD 48,000 - 52,000; Full time

Benefits offered by this job

Medical, Dental, and Vision

401k with a match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Company-paid life and short- and long-term disability benefits

Job summary

JobRx, Inc. is seeking a Pharmacy Adjudication Specialist for their Specialty Oncology pharmacy. This full-time position, based in Pennsylvania, offers remote options and requires experience in pharmacy or medical billing.

The specialist will be responsible for adjudicating pharmacy claims, resolving rejections, and ensuring timely medication delivery. The starting salary is $23.00 per hour with a sign-on bonus of $5,000.

Benefits include medical, dental, vision, 401k match, paid time off, and more.

Qualifications

• Required: 2+ years experience in pharmacy/healthcare setting or pharmacy claims experience.
• Desired: 3+ years experience in pharmacy/healthcare setting or pharmacy claims experience.

Responsibilities

• Adjudicate pharmacy claims and review claim responses for accuracy.
• Ensure prescription claims are adjudicated correctly according to the coordination of benefits.
• Perform outreach calls to patients regarding medication delivery.

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

Pharmacy Technician License/Registration

Job description

JobRx, Inc. is seeking a Pharmacy Adjudication Specialist for their Specialty Oncology pharmacy. This full-time position, based in Pennsylvania, offers remote options and requires experience in pharmacy or medical billing.

The specialist will be responsible for adjudicating pharmacy claims, resolving rejections, and ensuring timely medication delivery. The starting salary is $23.00 per hour with a sign-on bonus of $5,000.

Benefits include medical, dental, vision, 401k match, paid time off, and more.