Pharmacy Technician: Claims Adjudication Specialist

Company: CONSONUS PHARMACY SERVICES
Location: Gretna
Posted on: April 28, 2024

Job Description:

Do you like to problem solve and can't stop until you figure it out? - Does working with insurance companies make your day? Want to find a company that values their employees? -A company that REALLY values them! Looking to find a company you'll be proud to be a part of? - Ever had a position that involved patient billing or adjudicating accounts? If you answered yes, then we want to meet you! Our long-term care pharmacy is looking to add only exceptional people to our team. What will a Claims Adjudication Specialist do every day? - -

• Process Medicare, Medicaid, Hospice and Insurance claims for payment
• Interpret claims rejections and insurance denial
• -Contact Insurance and Hospice plans for clarification and overrides
• Train to be an expert in pharmacy benefits to problem solve and resolve insurance issues
• Communicate with internal staff regarding claims rejections and Refill too soon out comes -
• Assist with DME claims adjudication Claims Adjudication Specialist minimum requirements will include: -High School Diploma, or equivalent -
  • Pharmacy Technician License and National Certification required -
  • 1-year coding and insurance processing experience preferred
  • 1-year word processing and/or data entry experience required
  • 1-year customer service experience required
  • Knowledge of Medicare, Medicaid, coding and insurance processing a plus but will train -
  • Knowledge of DME claims processing a plus but will train
  • Strong written and oral communication skills required
  • Strong organizational and analytical skills required
  • -Must be able to actively contribute to a positive team environment Must be a self-starter with the ability to handle multiple tasks, remain focused, and work -independently
  • -Must be detail oriented, and able to thrive in a fast-paced environment -
  • Only an individual who is reliable and have a solid work history will be seriously considered for the position. - A completed pre-employment drug screen and background check will be conducted.
  • This hourly position requires a schedule of Monday thru Friday with a rotating schedule between the hours of 7am to 6:30pm, with rotating weekend shifts. - Flexibility is a must for rotating weekday and weekend shifts. - - Benefits:
    • Health Insurance
    • Dental Insurance
    • Vision Insurance
    • Disability Insurance
    • PTO
    • 401(K) & Match
    • Work/Life Balance
    • Opportunity for Continuing Education - Our Company is Consonus Pharmacy
      We are pioneers in long-term care pharmacy and continue to revolutionize the industry through innovative technology and personal innovative services. We pride ourselves in hiring exceptional individuals who are proactive and forward-thinking team players. Successful employees in the company are committed to playing a key role in keeping Consonus Pharmacy at the top of our industry. We are passionate about long-term care and actively build partnerships with our clients. Maintaining our positive work place culture is also true business success. Consonus Pharmacy is an Equal Opportunity Employer

Keywords: CONSONUS PHARMACY SERVICES, Omaha , Pharmacy Technician: Claims Adjudication Specialist, Healthcare , Gretna, Nebraska