On-Site Pharmacy Adjudicator Technician $19/hr (Lubbock, TX)

Company: RemX
Location: Lubbock
Posted on: April 26, 2024

Job Description:

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:
  • Must be a Certified Pharm Tech and licensed in the State of Texas
  • Must have experience with medical claims
  • Experience in a pharmacy setting and with knowledge of medical terminology.
  • Ability to operate a computer; ability to recognize and identify medications.
  • Detail oriented; goal oriented, team player, effective oral communication.
    For immediate consideration please email an up-to-date resume to Nicholas.varela@remx.com and mention the (TX PHARM ADJUDICATOR TECH ROLE).
    
    Please apply online and we will review your resume and contact you.
    
    If we have not contacted you after 10 business days, you may contact us at:
    
    (602) 954-2045 or Sas.ccs@remx.com

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