2 ADJUDICATION SPECIALIST Jobs in Englewood, CO
Amerita is Hiring an ADJUDICATION SPECIALIST Near Englewood, CO
The Adjudication Specialistwill 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
- 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.
- 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
Job Summary
Full Time
Skilled Nursing Services & Residential Care
$56k-70k (estimate)
04/16/2024
06/14/2024
ameritaiv.com
CENTENNIAL, CO
25 - 50
2006
RICHARD IRIYE
<$5M
Skilled Nursing Services & Residential Care
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About Amerita
Extraordinary People Providing Specialty Infusion Services and Quality Care Amerita, Inc. is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital setting. The Amerita team ensures patients receive quality care in a supportive and customer-focused environment. 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. By investing in some of the best local providers in Ame...rica, we aim to increase geographic coverage, expand product offerings, and share our success with the communities we serve.
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The following is the career advancement route for ADJUDICATION SPECIALIST positions, which can be used as a reference in future career path planning. As an ADJUDICATION SPECIALIST, it can be promoted into senior positions as a Claims Examiner IV that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary ADJUDICATION SPECIALIST. You can explore the career advancement for an ADJUDICATION SPECIALIST below and select your interested title to get hiring information.
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