Remote Pharmacy Adjudication Specialist - Oncology Claims

Onco360 Oncology Pharmacy

Hartford (CT)

Hybrid

USD 52,000 - 58,000

Full time

14 days+

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Benefits offered by this job

401k with a match

Paid Time Off

Tuition Reimbursement

Company paid benefits

Job summary

Onco360 Oncology Pharmacy is hiring a Pharmacy Claims Adjudication Specialist in Hartford, CT. The ideal candidate will adjudicate pharmacy claims and collaborate with various stakeholders to ensure seamless pharmacy operations. This full-time position offers flexibility with remote work options and a competitive starting salary of $26 an hour, alongside a $5,000 sign-on bonus.

We seek candidates with a high school diploma, experience in pharmacy and claims adjudication, and the necessary skills to excel in fast-paced environments. Comprehensive benefits are included.

Qualifications

2+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience.
Strong understanding of NCPDP claim rejection resolution.
Good interpersonal skills and ability to work independently.

Responsibilities

Adjudicate pharmacy claims and ensure correct processing.
Resolve third-party claim rejections and provide updates to patients.
Manage patient setup and documentation for claims accurately.

Skills

Pharmacy/NDC medication billing

Pharmacy claims resolution

Knowledge of Medicare, Medicaid, and commercial insurance

Basic math and analytical skills

Education

High School Diploma or GED

Tools

CPR+ system

Job description

We seek candidates with a high school diploma, experience in pharmacy and claims adjudication, and the necessary skills to excel in fast-paced environments. Comprehensive benefits are included.

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