Adecco is seeking an experienced Pharmacy Claims Reimbursement Specialist for a HYBRID opening in Cary, NC. Apply today!
REQUIREMENTS
Must have 1-3 years of Pharmacy Benefit Investigations experience (processing claims, prior authorization). Must have 5 years experience in the healthcare industry including (but not limited to ) Medicare or Medicaid program administration, claim adjudication, and prior authorizations for Pharmacy benefits.
Must have advanced data entry skills
Must have excellent communication skills- Verbal and written
Must have a High School Diploma or GED
Must reside within 30-40 minutes of Cary, NC
JOB SUMMARY AND DUTIES
Performs healthcare information & medical claims processing, healthcare billing & collection services, & provides financial guidance regarding hospital, HMO, clinical services to patients, their families & third-party representatives. Contact insurance companies to verify eligibility coverage for drug benefits. Function as a liaison between special drug program patients & their insurance companies. Performs healthcare information & medical claims processing, healthcare billing & collection services, & provides financial guidance regarding hospital, HMO, clinical services to patients, their families & third-party representatives. Contact insurance companies to verify eligibility coverage for drug benefits. Function as a liaison between special drug program patients & their insurance companies.
PAY The anticipated wage for this position is between $ 20 and $ 21.50
Hourly wage depends upon experience, education, geographic location and other factors.

SCHEDULE - Monday -Friday 9 am -6 pm

LOCATION- Cary NC 27834


Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility

Pay Details: $20.00 to $21.50 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
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The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.