Remote Pharmacy Claims Adjudication Specialist

Onco360; Salt Lake City (UT); Hybrid; USD 48,000 - 60,000; Full time

Benefits offered by this job

401k with match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Company paid benefits – life; and long

Job summary

Onco360 Pharmacy is seeking a Pharmacy Claims Adjudication Specialist in Salt Lake City, UT. This full-time, remote/hybrid role requires active Utah Pharmacy Technician credentials.

Starting salary is $23.00 per hour with a $5,000 sign-on bonus for hires before Dec 31, 2026. Responsibilities include adjudicating pharmacy claims, resolving rejections, ensuring accurate CPR+ patient setup, and communicating copay details.

Qualifications

• High School Diploma or GED required.
• 2+ years in pharmacy/healthcare or claims exp.
• Preferred: Associate degree or tech school; PTCB cert.

Responsibilities

• Adjudicate pharmacy claims and review responses for accuracy.
• Resolve third-party rejections and obtain overrides when appropriate.
• Notify patients about delays due to insurance claim issues.
• Ensure patient setup in CPR+ with accurate demographics and insurance.
• Communicate copay details and collect payments if needed.

Skills

Pharmacy billing

Claims resolution

PBM contracts

Medicare/Medicaid knowledge

NCPDP rejection handling

Coordination of benefits

Pharmacy terminology

Basic math skills

Typing skills

Healthcare knowledge

Brand/generic names

Roman numerals

Education

High School Diploma or GED

Associate degree or equivalent

Certified Pharmacy Technician (PTCB)

Job description

Onco360 Pharmacy is seeking a Pharmacy Claims Adjudication Specialist in Salt Lake City, UT. This full-time, remote/hybrid role requires active Utah Pharmacy Technician credentials.

Starting salary is $23.00 per hour with a $5,000 sign-on bonus for hires before Dec 31, 2026. Responsibilities include adjudicating pharmacy claims, resolving rejections, ensuring accurate CPR+ patient setup, and communicating copay details.