Do you like to problem solve and can’t stop until you figure it out? Does working with insurance companies make your day? Want to find a company that values their employees? A company that REALLY values them! Looking to find a company you’ll be proud to be a part of? Ever had a position that involved patient billing or adjudicating accounts? If you answered yes, then we want to meet you! Our long-term care pharmacy is looking to add only exceptional people to our team.

What will a Claims Adjudication Specialist do every day?

• Process Medicare, Medicaid, Hospice and Insurance claims for payment
• Interpret claims rejections and insurance denial
• Contact Insurance and Hospice plans for clarification and overrides
• Train to be an expert in pharmacy benefits to problem solve and resolve insurance issues
• Communicate with internal staff regarding claims rejections and Refill too soon out comes
• Assist with DME claims adjudication

Claims Adjudication Specialist minimum requirements will include:

High School Diploma, or equivalent

• Pharmacy Technician License and National Certification required
• 1-year coding and insurance processing experience preferred
• 1-year word processing and/or data entry experience require
• 1-year customer service experience required
• Knowledge of Medicare, Medicaid, coding and insurance processing a plus but will train
• Knowledge of DME claims processing a plus but will train
• Strong written and oral communication skills required
• Strong organizational and analytical skills required
• Must be able to actively contribute to a positive team environment Must be a self-starter with the ability to handle multiple tasks, remain focused, and work independently
• Must be detail oriented, and able to thrive in a fast-paced environment
• Only an individual who is reliable and have a solid work history will be seriously considered for the position. A completed pre-employment drug screen and background check will be conducted.
• This hourly position requires a schedule of Monday thru Friday with a rotating schedule between the hours of 7am to 6:30pm, with rotating weekend shifts. Flexibility is a must for rotating weekday and weekend shifts.

Benefits:

• Health Insurance
• Dental Insurance
• Vision Insurance
• Disability Insurance
• PTO
• 401(K) & Match
• Work/Life Balance
• Opportunity for Continuing Education

Our Company is Consonus Pharmacy

We are pioneers in long-term care pharmacy and continue to revolutionize the industry through innovative technology and personal innovative services. We pride ourselves in hiring exceptional individuals who are proactive and forward-thinking team players. Successful employees in the company are committed to playing a key role in keeping Consonus Pharmacy at the top of our industry. We are passionate about long-term care and actively build partnerships with our clients. Maintaining our positive work place culture is also true business success.

Consonus Pharmacy is an Equal Opportunity Employer