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On-Site Pharmacy Adjudicator Technician $19/hr (Lubbock, TX) - Lubbock Texas
Company: RemX
Location: Lubbock, Texas
Posted On: 05/13/2024
Join our dynamic team as a Pharmacy Adjudicator Technician (Day shift) and be at the forefront of ensuring maximum reimbursement and timely billing in the pharmaceutical industry. With a competitive salary of $19/hr and the opportunity for potential long-term employment, this position offers stability and growth in the vibrant city of Lubbock, TX.
Title: Pharmacy Adjudicator Technician (Day shift)
Salary: $19/hr.
Start Date: ASAP
Employment Type: TTH (Possible temp to hire)
Location: Onsite: Lubbock, TX 79407
Schedule: Monday - Friday
Shift: 7am-4pm - possible weekends
Job Description:
- Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks.
- Researches, analyzes and appropriately resolves rejected claims by working with national
- Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines.
- Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
- Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes.
- Works as a team to identify, document, communicate and resolve payer/billing trends and issues.
- Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans.
- Prepares and maintains reports and records for processing. Requirements:
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