LTC Pharmacy Adjudicator - IL MA Licensed
Company: VirtualVocations
Location: Mission Viejo
Posted on: November 16, 2024
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Job Description:
A company is looking for a LTC Pharmacy Adjudicator responsible
for managing medication order exceptions and coordinating claims
adjudication.
Key Responsibilities
Communicate with communities regarding non-formulary and expensive
medication orders, providing education on alternatives
Review and resolve Medicare D rejections and prior authorizations,
coordinating with pharmacists and physicians
Maintain patient account information and submit claims to third
parties, identifying and resolving claim denials
Required Qualifications
High School diploma or GED
Pharmacy Technician License and/or Certification (CPhT) as per
state requirements
Minimum one year of data entry experience
General computer knowledge, including Microsoft Office: Word,
Excel, and Outlook
Strong knowledge of Brand/Generic drugs and medical terminology
Keywords: VirtualVocations, Rancho Santa Margarita , LTC Pharmacy Adjudicator - IL MA Licensed, Healthcare , Mission Viejo, California
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