Pharmacy Adjudicator

Job Summary

A company is looking for an Adjudicator to join their Specialty pharmacy team remotely.

Key Responsibilities

• Manage daily claims and resolve rejected claims in SPRX C
• Process credit card charges for refill patients and verify shipment of medications
• Assist with various tasks and maintain accurate patient records while promoting a positive work environment

Required Qualifications

• High School Diploma or GED required; some college work preferred
• Minimum one year of experience with patient accounts in a pharmacy or healthcare setting
• Understanding of insurance, prior authorization, and patient benefits strongly preferred
• Computer experience is mandatory
• Must be eligible for participation in all applicable State and Federal reimbursement programs