Experienced Pharmacy Billing Adjudicator for Evening Shift - Remote Opportunity with Comprehensive Benefits
Unlock a Rewarding Career with Workwarp: Pharmacy Billing Adjudicator - Evening Shift
Workwarp is a pioneering company that is revolutionizing the healthcare industry through its innovative solutions and commitment to excellence. As a leader in the field, we are now seeking an experienced and skilled Pharmacy Billing Adjudicator to join our team on a full-time basis for the evening shift. This is a unique opportunity to work with a dynamic team, grow your career, and make a meaningful impact in the lives of patients.
About the Role
As a Pharmacy Billing Adjudicator, you will play a critical role in our MAC Rx Billing department, ensuring the efficient processing of claims, resolving billing inquiries, and providing exceptional customer service. The ideal candidate will have a strong background in long-term care pharmacy, excellent analytical skills, and the ability to thrive in a fast-paced, dynamic environment.
Key Responsibilities
- Process admissions, including demographics and insurance information, in a timely and accurate manner.
- Assist with customer billing inquiries, resolving issues in a courteous and professional manner.
- Work with residents to understand and resolve account balances and patient records.
- Ensure compliance with all applicable government regulations, including HIPAA.
- Collaborate with clients to ensure the timely delivery of patient medications.
- Perform live claim adjudication, ensuring accurate and efficient processing of claims.
Essential Qualifications
To be successful in this role, you will need:
- 1-3 years of experience in long-term care pharmacy, with a strong understanding of the adjudication process.
- Knowledge of Medicare Part D, public aid, and third-party insurances.
- Familiarity with Prior Authorizations and the ability to navigate complex insurance issues.
- A Pharmacy Technician License, with certification preferred.
- Strong attention to detail, with the ability to work accurately in a fast-paced environment.
- Self-motivation and the ability to work independently, with minimal supervision.
- Ability to work weekends and holidays, as required.
Preferred Qualifications
To stand out as a candidate, you will ideally have:
- Experience with Framework LTC software.
- An Illinois Pharmacy Technician License.
- A proven track record of success in a long-term care pharmacy setting.
Skills and Competencies
The ideal candidate will possess:
- Excellent analytical and problem-solving skills.
- Strong communication and customer service skills.
- The ability to work effectively in a team environment.
- A strong understanding of federal and state pharmacy laws and guidelines.
- Proficiency in navigating complex insurance issues and resolving billing inquiries.
Career Growth Opportunities and Learning Benefits
At Workwarp, we are committed to the growth and development of our employees. As a Pharmacy Billing Adjudicator, you will have access to:
- Ongoing training and professional development opportunities.
- A supportive and collaborative work environment.
- Opportunities for career advancement and professional growth.
Work Environment and Company Culture
We pride ourselves on our dynamic and inclusive company culture, which values:
- Collaboration and teamwork.
- Innovation and creativity.
- Employee well-being and work-life balance.
As a remote employee, you will enjoy the flexibility and autonomy to work from anywhere, while still being connected to our vibrant company culture.
Compensation, Perks, and Benefits
We offer a comprehensive benefits package, including:
- A competitive salary.
- Access to health, dental, vision, long-term disability, short-term disability, and life insurance.
- A company-matching 401(k) plan.
- Paid time off.
Join Our Team
If you are a motivated and experienced Pharmacy Billing Adjudicator looking for a new challenge, we encourage you to apply for this exciting opportunity. As a member of our team, you will be part of a dynamic and innovative company that is shaping the future of healthcare.
Don't miss this chance to take your career to the next level. Apply now and discover a rewarding new role that offers the perfect blend of challenge, growth, and fulfillment.