Experienced Pharmacy Billing Adjudicator for Evening Shift - Remote Opportunity with Comprehensive Benefits

Unlock a Rewarding Career with Workwarp: Pharmacy Billing Adjudicator - Evening Shift

Workwarp is a pioneering company that is revolutionizing the healthcare industry through its innovative solutions and commitment to excellence. As a leader in the field, we are now seeking an experienced and skilled Pharmacy Billing Adjudicator to join our team on a full-time basis for the evening shift. This is a unique opportunity to work with a dynamic team, grow your career, and make a meaningful impact in the lives of patients.

About the Role

As a Pharmacy Billing Adjudicator, you will play a critical role in our MAC Rx Billing department, ensuring the efficient processing of claims, resolving billing inquiries, and providing exceptional customer service. The ideal candidate will have a strong background in long-term care pharmacy, excellent analytical skills, and the ability to thrive in a fast-paced, dynamic environment.

Key Responsibilities

• Process admissions, including demographics and insurance information, in a timely and accurate manner.
• Assist with customer billing inquiries, resolving issues in a courteous and professional manner.
• Work with residents to understand and resolve account balances and patient records.
• Ensure compliance with all applicable government regulations, including HIPAA.
• Collaborate with clients to ensure the timely delivery of patient medications.
• Perform live claim adjudication, ensuring accurate and efficient processing of claims.

Essential Qualifications

To be successful in this role, you will need:

• 1-3 years of experience in long-term care pharmacy, with a strong understanding of the adjudication process.
• Knowledge of Medicare Part D, public aid, and third-party insurances.
• Familiarity with Prior Authorizations and the ability to navigate complex insurance issues.
• A Pharmacy Technician License, with certification preferred.
• Strong attention to detail, with the ability to work accurately in a fast-paced environment.
• Self-motivation and the ability to work independently, with minimal supervision.
• Ability to work weekends and holidays, as required.

Preferred Qualifications

To stand out as a candidate, you will ideally have:

• Experience with Framework LTC software.
• An Illinois Pharmacy Technician License.
• A proven track record of success in a long-term care pharmacy setting.

Skills and Competencies

The ideal candidate will possess:

• Excellent analytical and problem-solving skills.
• Strong communication and customer service skills.
• The ability to work effectively in a team environment.
• A strong understanding of federal and state pharmacy laws and guidelines.
• Proficiency in navigating complex insurance issues and resolving billing inquiries.

Career Growth Opportunities and Learning Benefits

At Workwarp, we are committed to the growth and development of our employees. As a Pharmacy Billing Adjudicator, you will have access to:

• Ongoing training and professional development opportunities.
• A supportive and collaborative work environment.
• Opportunities for career advancement and professional growth.

Work Environment and Company Culture

We pride ourselves on our dynamic and inclusive company culture, which values:

• Collaboration and teamwork.
• Innovation and creativity.
• Employee well-being and work-life balance.

As a remote employee, you will enjoy the flexibility and autonomy to work from anywhere, while still being connected to our vibrant company culture.

Compensation, Perks, and Benefits

We offer a comprehensive benefits package, including:

• A competitive salary.
• Access to health, dental, vision, long-term disability, short-term disability, and life insurance.
• A company-matching 401(k) plan.
• Paid time off.

Join Our Team

If you are a motivated and experienced Pharmacy Billing Adjudicator looking for a new challenge, we encourage you to apply for this exciting opportunity. As a member of our team, you will be part of a dynamic and innovative company that is shaping the future of healthcare.

Don't miss this chance to take your career to the next level. Apply now and discover a rewarding new role that offers the perfect blend of challenge, growth, and fulfillment.

Apply today and take the first step towards a brighter future with Workwarp!