Pharmacy Billing Adjudicator - Evening Shift
The MAC Rx Billing department is seeking a LTC Pharmacy Adjudicator to join the team! The ideal candidate will be thrive in a fast-paced environment, be able to multi-task and holds experience in a long term care pharmacy with multiple aspects of adjudication.
**We are currently recruiting for the Evening shift
* *Hours: 6pm - 2:30am and/or 4:30pm - 1am**
Job duties include:
-Process all admissions including demographics and insurance
-Assist with all customer billing inquires in a courteous and professional manner
-Understand and work with residents on account balances and patient records
-Follow all applicable government regulations including HIPPA
-Work with clients to ensure timely delivery of patient medications
-Work live claim adjudication
Job requirements include:
-Knowledgeable in Medicare Part D, public aid and third-party insurances
-Knowledge of Prior Authorizations
-Ability to adjudicate claims efficiently
-Knowledge of adjudication process for LTC pharmacy is required
-Knowledge of federal and state pharmacy laws and guidelines
-Strong attention to detail
-Self-motivated and able to work independently
-1 to 3 years of LTC pharmacy experience required
-Pharmacy Technician License required
-Ability to work weekends/holidays
This is a full time position with a competitive salary and full suite of benefits. Benefits include access to health, dental, vision, long-term disability, short-term disability and life insurance, company-matching 401(k) plan and paid time off.
Please apply today!
Job Type: Full-time
Benefits:
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
Experience:
- LTC pharmacy: 1 year (Preferred)
- Framework LTC software: 1 year (Preferred)
License/Certification:
- Pharmacy Technician Certification (Required)
- Illinois Pharmacy Technician License (Preferred)
Work Location: Remote
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