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**
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
