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

Apply Job!