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Extended Living

Pharmacy Billing Adjudicator

Career Insights for Pharmacist (General)

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Scorecard

Based on Illinois data

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What they do

A Pharmacist provides medications to patients and educates patients and physicians on the proper use of medications. May work for a pharmacy or a healthcare facility. May be directly involved in patient care, or consult with healthcare facilities or insurance companies to develop efficient methods of prescription.

$113,926 / year median in Illinois

-5% projected decline

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Job Description

Job Overview The Pharmacy Billing Adjudicator plays a critical role ensuring accurate processing of pharmacy claims and facilitating the reimbursement process. The ideal candidate will work closely with pharmacy staff, insurance companies, and patients to resolve billing discrepancies. Duties Review and adjudicate pharmacy claims to ensure accuracy and compliance with payer guidelines. Analyze claim denials and rejections, determining appropriate resolutions or adjustments. Collaborate with pharmacy staff to gather necessary documentation for billing purposes. Skills Strong attention to detail with excellent analytical skills for resolving complex billing issues. Effective communication skills to interact with pharmacy staff, insurance representatives, and patients. Ability to work independently as well as part of a team in a fast-paced environment.
Job Type:
Full-time Pay:
$18.00 - $19.50 per hour
Benefits:
Dental insurance Health insurance Paid time off Vision insurance
Work Location:
In person

Benefits

  • Paid Time Off (PTO)
  • Health Insurance
  • Dental Insurance
  • Vision Insurance