Remote Pharmacy Claims Adjudication Specialist - Oncology

Onco360 Oncology Pharmacy; Columbus (OH); Hybrid; USD 28,413 - 40,467; Full time

Benefits offered by this job

401k with a match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Company paid life and disability benefits

Job summary

Onco360 Oncology Pharmacy in Columbus, OH is looking for a Pharmacy Claims Adjudication Specialist to work full-time. Candidates must have active Ohio Pharmacy Technician credentials and be passionate about improving patient lives.

Responsibilities include managing pharmacy claims, resolving insurance issues, and ensuring compliance with guidelines. Benefits include a $5,000 sign-on bonus and various health perks. Flexibility to work remotely is offered.

Qualifications

• Required experience includes 2+ years in Pharmacy/Healthcare or claims.
• Knowledge of pharmacy terminology including sig codes and Roman numerals.
• Good interpersonal and communication skills.

Responsibilities

• Adjudicate pharmacy claims and ensure accuracy.
• Resolve third-party rejections and manage patient outreach.
• Provide timely responses to requests from pharmacy operations and patients.

Skills

Pharmacy/NDC medication billing

Pharmacy claims resolution

Knowledge of Medicare, Medicaid, and commercial insurance

Analytical skills

Intermediate typing/keyboarding skills

Education

High School Diploma or GED

Certified Pharmacy Technician

Associate degree from a 2-year program

Job description

Onco360 Oncology Pharmacy in Columbus, OH is looking for a Pharmacy Claims Adjudication Specialist to work full-time. Candidates must have active Ohio Pharmacy Technician credentials and be passionate about improving patient lives.

Responsibilities include managing pharmacy claims, resolving insurance issues, and ensuring compliance with guidelines. Benefits include a $5,000 sign-on bonus and various health perks. Flexibility to work remotely is offered.