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THIRD PARTY ADJUDICATION CLAIMS SPECIALIST
WHO WE ARE
Polaris Pharmacy Services is an industry leader in both the Long-Term Care and Post-Acute Care settings. Founded in 2015, we are locally and independently owned with pharmacies in different cities through-out the United States. We are proud to offer competitive benefits and industry pay as well as the opportunity for career advancement to all our team members. Currently we are recruiting for experienced Adjudicators to join the Polaris team.
OVERVIEW
The Third-Party Adjudication Claims Specialist is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Third-Party Adjudication Claims Specialist must be responsive and courteous when addressing our customers needs. Successful Specialists are dedicated to meeting the expectations and requirements of the position; understanding customer information and using it to improve products and services we deliver; talking and acting with customers in mind; establishing and maintaining effective relationships with co-workers and customers, thus gaining our customers trust and respect.
RESPONSIBILITIES
QUALIFICATIONS
PHYSICAL DEMANDS
The physical demands described here are representative of those that should be met by an employee to successfully perform the essential functions of this job:
HOLIDAY & PTO POLICY
We provide qualifying full-time employees with 23 PTO (Paid Time Off) days annually. PTO is used for holidays, vacation, sick leave, and personal leave.
Please note, because we are a pharmacy most of our locations are open 24-hours a day, 7 days a week and therefore schedules may change as determined by the needs of the business.
BENEFITS for full time employees
Full Time
Ancillary Healthcare
$69k-88k (estimate)
12/15/2023
05/24/2024
polarisrx.com
FORT LAUDERDALE, FL
100 - 200
2015
DAVID ROMBRO
$10M - $50M
Ancillary Healthcare
Polaris Pharmacy Services is the leading provider of long term care pharmacy solutions located in South Florida. We know you have a choice and because of this we at Polaris are committed to exceptional service and excellent value. Our caring approach has been built on years of long term care experience and we know that through service and dedication to our clients we can provide the quality you deserve.
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.