Pharmacy Billing Adjudicator - Evening Shift

Remote, USA Full-time Posted 2025-07-01
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The MAC Rx Billing department is seeking a LTC Pharmacy Adjudicator to join the team! The ideal candidate will be thrive in a fast-paced environment, be able to multi-task and holds experience in a long term care pharmacy with multiple aspects of adjudication. ? *We are currently recruiting for the Evening shift * *Hours: 6pm - 2:30am** Job duties include: -Process all admissions including demographics and insurance -Assist with all customer billing inquires in a courteous and professional manner -Understand and work with residents on account balances and patient records -Follow all applicable government regulations including HIPPA -Work with clients to ensure timely delivery of patient medications -Work live claim adjudication Job requirements include: -Knowledgeable in Medicare Part D, public aid and third-party insurances -Knowledge of Prior Authorizations -Ability to adjudicate claims efficiently -Knowledge of adjudication process for LTC pharmacy is... required -Knowledge of federal and state pharmacy laws and guidelines -Strong attention to detail -Self-motivated and able to work independently -1 to 3 years of LTC pharmacy experience required -Pharmacy Technician License required -Ability to work weekends/holidays This is a full time position with a competitive salary and full suite of benefits. Benefits include access to health, dental, vision, long-term disability, short-term disability and life insurance, company-matching 401(k) plan and paid time off. Please apply today! Job Type: Full-time Benefits: ? 401(k) matching ? Dental insurance ? Health insurance ? Life insurance ? Paid time off ? Vision insurance Schedule: ? 8 hour shift Experience: ? LTC pharmacy: 1 year (Preferred) ? Framework LTC software: 1 year (Preferred) License/Certification: ? Pharmacy Technician Certification (Required) ? Illinois Pharmacy Technician License (Preferred) Work Location: Remote

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