Remote Pharmacy Claims Adjudication Specialist

JobRx, Inc.; St. Louis (MO); On-site; USD 52,000 - 65,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401k with a match

Paid Time Off and Paid Holidays

Tuition Reimbursement

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

Job summary

JobRx, Inc. is seeking a Pharmacy Adjudication Specialist to work full-time in St. Louis, Missouri, with options for remote work. Responsibilities include adjudicating pharmacy claims and resolving third-party rejections.

The ideal candidate should have a High School Diploma or GED, with at least 2 years of experience in a pharmacy or healthcare setting. Benefits include a competitive starting salary, health insurance, and a $5,000 sign-on bonus for early starters.

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 ensure accuracy according to coordination of benefits.
• Resolve third-party rejections and notify patients regarding medication delivery delays.

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

Associate degree or equivalent from a 2-year program

Job description

JobRx, Inc. is seeking a Pharmacy Adjudication Specialist to work full-time in St. Louis, Missouri, with options for remote work. Responsibilities include adjudicating pharmacy claims and resolving third-party rejections.

The ideal candidate should have a High School Diploma or GED, with at least 2 years of experience in a pharmacy or healthcare setting. Benefits include a competitive starting salary, health insurance, and a $5,000 sign-on bonus for early starters.