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