IND Consulting islooking to expand our Pharmacy Insurance Adjudication Team.
Our Pharmacy Insurance Adjudication Team will act as advocates for the patient and pharmacy, working with insurance companies to obtain approval and reimbursement for claims.
Applicants should be able to act on behalf of patients in regards to their pharmacy insurance claims, have effective communication and phone skills, the ability to take on new tasks, and learn new skills.
Additionally, applicants must be able work efficiently and effectively while maintaining a constructive working relationship with other team members and pharmacy staff.
*Job Requirements and Essential Functions:*
* Communicates with insurance carriers and pharmacies to obtain claim approval/overrides for patient pharmacy claims
* Review pharmacy and patient records for relevant information to the claim approval process
* Detailed notation and documentation skills
* Basic computer skills
* Effective communication and phone skills
* Ability to recognize important details
* Strong communication with peers and supervisors
* Punctual - Excellent time and attendance
*Relevant and Desired Experience Preferred:*
Previous experience working with insurance companies and pharmacies, or relevant medical office, clerical, data entry, inbound/outbound calling.
*Knowledge in pharmacy insurance rejections, denials, and adjudication are highly preferred.
*
*Desired Experience*:
* Pharmacy insurance adjudication experience preferred
* Pharmacy experience preferred
* Working with pharmacy insurance claim denials
* Ability to excel in a fast-paced, team-oriented environment while adhering to strict deadlines
* AS400 pharmacy software experience preferred
*Education*: Must possess at least a high school diploma or equivalent.
Pharmacy Technician Preferred but not required.
*Shift for this position is Monday - Friday 8:00 AM - 4:30 PM CST*
*This is an on-site position in our Waco Office - No Remote - No Hybrid*
Job Type: Full-time
Pay: $14.
00 per hour
Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Physical setting:
* Long term care
* Office
Schedule:
* 8 hour shift
* Day shift
* Monday to Friday
* No weekends
Ability to Commute:
* Waco, TX 76706 (Required)
Work Location: In person
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