Pharmacy Billing Adjudicator

Remote, USA Full-time
CVS Health is seeking an experienced Pharmacy Billing Adjudicator to join our team. The ideal candidate will have a passion for providing accurate and timely billing services that exceed customer expectations. We are looking for a professional with a strong work ethic, excellent problem-solving skills, and strong customer service focus. The Pharmacy Billing Adjudicator will be responsible for reviewing pharmacy transactions, claims, and billing.The successful candidate must have a minimum of 3 years' experience in pharmacy billing, adjudication, and/or insurance reimbursement. They must also have a thorough understanding of pharmacy laws, regulations, and contractual requirements. A strong work ethic, excellent communication skills, and the ability to multitask are essential. In addition, the individual must possess a high degree of accuracy and attention to detail. Responsibilities: Review pharmacy transactions, claims, and billing. Provide accurate and timely billing services that exceed customer expectations. Ensure compliance with all relevant pharmacy laws, regulations, and contractual requirements. Maintain records of all billing activities. Provide excellent customer service by responding to inquiries in a timely manner. Utilize problem-solving skills to resolve billing issues. Maintain a high degree of accuracy and attention to detail. Monitor and adjust billing procedures as needed. Ensure accurate and timely billing of third-party payers. Maintain regular communication with pharmacy staff and billing customers. CVS Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Apply tot his job
Apply Now

Similar Jobs

UM Nurse Consultant – Prior Authorizations, MD

Remote, USA Full-time

Customer Service Representative - Employee Assistance Program (Monday – Friday 11:30am-8:00pm EST)

Remote, USA Full-time

Job at Home – CVS Pharmacy | $27/Hour Remote Role (Best-Paying Jobs)

Remote, USA Full-time

Regional Ops - Inventory Management - Team Lead Aligarh

Remote, USA Full-time

Hub's/Warehouse Regional Spoc - Jodhpur

Remote, USA Full-time

Senior Specialist 2, Accounting

Remote, USA Full-time

Marketing Specialist

Remote, USA Full-time

Fraud Monitoring Analyst

Remote, USA Full-time

Retail Media Advertising - Senior Manager - CVS Media Exchange (CMX)

Remote, USA Full-time

Consultant, Company Secretary (3 months contract)

Remote, USA Full-time

Coordinator, Human Resources

Remote, USA Full-time

External Service Support Specialist, East Coast

Remote, USA Full-time

Manager, Product Consumer Insights - Member Experience

Remote, USA Full-time

Registered Nurse Assessment Coordinator (RNAC) – Hourly, Part Time PA

Remote, USA Full-time

**Experienced Part-Time Data Entry Specialist – Remote Work Opportunities with Competitive Hourly Rates and No Prior Experience Required**

Remote, USA Full-time

Experienced Call Center Manager and Live Chat Support Specialist for Remote Customer Service Operations Leadership

Remote, USA Full-time

Software Engineer (Hybrid)

Remote, USA Full-time

Web Developer 100% remote (W2 only) at TEKsystems San Diego, CA

Remote, USA Full-time

**Experienced Data Entry Research Panelist – Remote Work Opportunity at arenaflex**

Remote, USA Full-time

Remote Pharmacist (3-Month Contract) - Illinois

Remote, USA Full-time
Back to Home