Requisition: 2024-142488
ADJUDICATION SPECIALIST
Job Locations
US-CO-ENGLEWOOD
ID
2024-142488
Line of Business
Amerita
Position Type
Full-Time
Pay Min
USD $17.35/Hr.
Pay Max
USD $26.00/Hr.
Our Company
Amerita
Overview
Come join our closed-door specialty infusion pharmacy! Amerita is a leading
provider of Specialty Infusion services focused on providing complex
pharmaceutical products and clinical services to patients outside of the
hospital. As one of the most respected Specialty Infusion providers in
America, we service thousands of patients nationwide through our growing
network of branches and healthcare professionals.
The Adjudication Specialist will be responsible for all aspects of pharmacy
and medical claims adjudication, accuracy of pharmacy and medical claims,
resolution of third-party rejections, and coordination of benefits.
WORK SCHEDULE: Mon - Fri 10am-6:30pm
* Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity
Insurance
* 401(k) Retirement Plan with Employer Match
* Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
* Employee Discounts
* Tuition Reimbursement
* Paid Time Off & Holidays
Responsibilities
Processes pharmacy and medical claims accurately and efficiently, ensuring
compliance with payer policies and guidelines.
Verifies accuracy of claim submissions, including medication codes,
quantities and pricing and resolve any discrepancies or errors.
Knowledgeable to perform all Document Management functions. Provides
thorough, accurate and timely responses to requests.
Qualifications
High School Diploma or GED or licensed/registered pharmacy technician or
previous experience in Pharmacy
1+ years pharmacy experience
Pharmacy or healthcare-related knowledge
Knowledge of pharmacy terminology including sig codes, and Roman numbers,
brand/generic names of medication
Basic math and analytical skills
Intermediate typing/keyboard skills
About our Line of Business
Amerita is a specialty infusion company focused on providing complex
pharmaceutical products and clinical services to patients outside of the
hospital. Committed to excellent service, our vision is to combine the
administrative efficiencies of a large organization with the flexibility,
responsiveness and entrepreneurial spirit of a local provider. For more
information about Amerita, please visit www.ameritaiv.com. Follow us on
TwitterandLinkedIn.
Salary Range
USD $17.35 - $26.00 / Hour
Res-Care, Inc., dba BrightSpring Health Services ("ResCare"), is
an Equal Opportunity Employer. ResCare does not
discriminate against any person on the basis of gender, race, color,
national origin, religion, disability, age,
veteran status, gender identity or sexual orientation in admission,
treatment, or participation in its programs, services
and activities, or in employment, or on the basis of gender in its health
programs and activities.