Job Summary
A company is looking for a Pharmacy Adjudication Specialist.
Key Responsibilities
- Manage real-time insurance claims and provide customer service to clients
- Analyze, approve, and submit claims while ensuring accurate processing
- Resolve discrepancies and communicate with facilities and third-party payers
Qualifications and Requirements
- Pharmacy Technician License in Ohio, West Virginia, Indiana, and Maryland (preferred)
- Previous Long-Term Care pharmacy experience (a plus)
- Knowledge of Framework LTC (a plus)
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