Pharmacy Adjudicator

Job Summary

A company is looking for an Adjudicator to join their Specialty pharmacy team in a remote capacity.

Key Responsibilities

• Manage daily claims and resolve rejected claims in the SPRX C system
• Process credit card charges for refill patients and verify daily shipments
• Assist with various pharmacy tasks, maintain patient records, and support a positive work environment

Required Qualifications

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