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adjudication specialist - Englewood, United States - ResCare
Description
Requisition:
ADJUDICATION SPECIALIST Job Locations
US-CO-ENGLEWOOD
ID
Line of Business Amerita
Position Type Full-Time
Pay Min USD $17.35/Hr.
Pay Max USD $26.00/Hr. Our Company
Amerita Overview
Come join our closed-door specialty infusion pharmacy Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital.
As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals.
The Adjudication Specialist will be responsible for all aspects of pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims, resolution of third-party rejections, and coordination of benefits.
WORK SCHEDULE:
Mon - Fri 10am-6:30pm * Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts * Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance * 401(k) Retirement Plan with Employer Match * Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability * Employee Discounts * Tuition Reimbursement * Paid Time Off & Holidays
Responsibilities
Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer policies and guidelines. Verifies accuracy of claim submissions, including medication codes, quantities and pricing and resolve any discrepancies or errors. Knowledgeable to perform all Document Management functions. Provides thorough, accurate and timely responses to requests.
Qualifications
High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy 1+ years pharmacy experience Pharmacy or healthcare-related knowledge Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication Basic math and analytical skills Intermediate typing/keyboard skills
About our Line of Business
Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital.
Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider.
For more information about Amerita, please visit Follow us on TwitterandLinkedIn.Salary Range
USD $ $26.00 / Hour
Res-Care, Inc., dba BrightSpring Health Services ("ResCare"), is an Equal Opportunity Employer.
ResCare does not discriminate against any person on the basis of gender, race, color, national origin, religion, disability, age, veteran status, gender identity or sexual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.
