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Claims Adjudication Specialist

Cary, NC

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Description

RemX has an immediate need for a Claims Adjudication Specialist for an amazing temp to hire opportunity. The ideal candidate must have experience in pharmacy billing preferably in a retail or specialty pharmacy setting. Must have perfect attendance and must be able to work Monday - Friday from 11am to 8pm. 

Job Requirements

Key Responsibilities

  • Process and perform adjudication of specialty pharmacy claims through point of sale functions.
  • Manage assigned queues keeping up-to-date and current on all claims.
  • Serve as a technical resource pertaining to adjudication while identifying areas for improvement.
  • Interact with other teams and function in strict accordance with standard, written procedures, and guidelines.
  • Entering detailed, accurate, and grammatically correct progress notes.
  • CPhT a plus.
  • Schedule: Monday - Friday 11am to 8pm. 
  • Training Schedule: Monday - Friday from 9am to 6pm for the first 4 to 6 weeks. 
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