Remote Pharmacy Claims Adjudication Specialist

Onco360 Oncology Pharmacy; Pittsburgh (Allegheny County); Hybrid; USD 46,000 - 60,000; Full time

Benefits offered by this job

401k with a match

Paid Time Off and Paid Holidays

Tuition Reimbursement

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

Job summary

Onco360 Oncology Pharmacy in Pittsburgh, PA is looking for a Pharmacy Claims Adjudication Specialist to adjudicate pharmacy claims and ensure accuracy. The role offers the chance to work remotely and a starting salary from $23.00 an hour, with a sign-on bonus of $5,000 for eligible hires.

The ideal candidate should have a High School diploma or GED, along with pharmacy claims experience. Join our team to make a difference in patients' lives.

Qualifications

• Previous experience in Pharmacy, Medical Billing, or Benefits Verification.
• At least 2+ years of experience in Pharmacy/Healthcare Setting.
• Pharmacy Technician License/Registration as required by state law.

Responsibilities

• Adjudicate pharmacy claims and ensure accuracy.
• Contact insurance companies to resolve third-party rejections.
• Ensure complete patient setup in CPR+ system.
• Document and submit requests for patient refunds.

Skills

Pharmacy/NDC medication billing

Pharmacy claims resolution

knowledge of pharmacy terminology

detail-oriented

excellent verbal and written communication skills

time-management skills

Education

High School Diploma or GED

Associate degree or equivalent program

Tools

CPR+ system

Job description

Onco360 Oncology Pharmacy in Pittsburgh, PA is looking for a Pharmacy Claims Adjudication Specialist to adjudicate pharmacy claims and ensure accuracy. The role offers the chance to work remotely and a starting salary from $23.00 an hour, with a sign-on bonus of $5,000 for eligible hires.

The ideal candidate should have a High School diploma or GED, along with pharmacy claims experience. Join our team to make a difference in patients' lives.