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Pharmacy Billing Adjudicator - Evening Shift ID-10563

Full Job Description

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.

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**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.

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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