Job Summary
A company is looking for a Pharmacy Adjudication Specialist to manage real-time insurance claims and provide customer service to clients.
Key Responsibilities
- Manage and process real-time insurance claims while collaborating with various departments
- Submit claims, make necessary corrections, and ensure accurate processing
- Resolve discrepancies and communicate with facilities regarding claim issues
Qualifications and Requirements
- Pharmacy Technician License in Ohio, West Virginia, Indiana, and Maryland (all preferred but not required)
- Previous Long-Term Care pharmacy experience is a plus
- Knowledge of Framework LTC is a plus
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