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Pharmacy Insurance Adjudication Specialist Job at IND Consulting

IND Consulting Waco, TX 76706

IND Consulting is searching to expand our Pharmaceutical Insurance Adjudication team. Our insurance adjudication specialists will act as advocates for the patient and pharmacy, working with insurance companies to obtain approval and payment for claims. Applicants should be able to recognize the needs of and express concern for patients, have effective communication and phone skills, the ability to take on new tasks, and learn new skills. Additionally, applicants must be able to set priorities effectively and maintain constructive working relationships with co-workers, insurance company staff, and pharmacy office staff.

Essential Functions:

  • Communicates with insurance carriers and pharmacies to obtain claim approval for patients
  • Review patient pharmacy records for relevant information to the claim approval process
  • Detailed notation and documentation skills
  • Responsible for reporting all customer complaints
  • Data entry and computer skills
  • Effective communication and phone skills
  • Must have strong general pharmacy and insurance knowledge

Relevant Experience: 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 preferred.

Desired Experience:

  • Pharmacy insurance adjudication experience preferred
  • Pharmacy experience preferred
  • Working with insurance denials
  • Ability to excel in a fast-paced, team-oriented environment while adhering to strict deadlines
  • Ability to pay attention to detail
  • Strong communication with peers and supervisors
  • Punctual - Excellent time and attendance

Education: Must possess at least a high school diploma or equivalent.

Job Type: Full-time

Starting at $14.00/hr depending upon experience.

Schedule:

  • Monday to Friday 10:30AM - 7:00PM

Why choose IND?

IND WACO strives to have a professional, casual, and fun work environment consisting of dress up days, ice cream parties, pizza parties, pot lucks, and much more to make coming to work as fun as possible! We offer professional job opportunities with room for advancement and growth.

Job Type: Full-time

Pay: From $14.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday
  • No weekends

Work Location: One location




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