LTC Pharmacy Adjudication Technician

🔥 2 hours ago

🌵 Arizona, Colorado, +9 more states – Remote

🌵 Arizona – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌪️ Kansas – Remote 🏈 Ohio – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟢 Junior

💊 Pharmacist

🚫👨‍🎓 No degree required

👻 Ghost score 12%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Symbria

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1995

🏥 Healthcare

💊 Pharmaceuticals

🧘 Wellness

Healthcare • Pharmaceuticals • Wellness

Symbria is a provider of integrated Pharmacy, Rehabilitation, and Well-Being services focused on post-acute and senior living communities. The company partners with skilled nursing facilities, continuing care retirement communities, and other post-acute providers to deliver pharmacy services (including strip packaging and technician support), an array of therapy services (physical, occupational, speech, respiratory, and therapy assistants), analytics, and well-being programs. Symbria positions itself as a strategic partner to help communities perform at their best and improve resident outcomes; it is also an employee-owned (ESOP) company.

📋 Description

• Communicate with communities regarding expensive, non-formulary, and incomplete medication orders • Educate communities on less expensive medication alternatives identified by staff pharmacists • Keep detailed records of orders requiring community communication • Follow up with communities when medications have not been changed or clarified • Communicate professionally with community management staff by phone or email • Assist with order data entry and answer data entry department phone calls • Review Medicare D rejections and prior authorizations • Coordinate with pharmacists or physicians to adjudicate claims • Prepare for formulary changes with designated operations staff • Perform insurance and billing clerical duties • Review and maintain patient account information • Prepare and submit electronic or paper claims to third parties • Identify and resolve claim denials • Act as liaison between patients and third parties • Collaborate with team members and supervisors to share best practices • Provide backup support to other pharmacy departments as needed • Perform other assigned duties

🎯 Requirements

• High School diploma or general education degree (GED) • Pharmacy Technician License and/or Certification (CPhT) as per State requirements • Must be licensed in Illinois and Massachusetts within 60 days of hire • Data entry experience; minimum one year • Excellent customer service, interpersonal, verbal and written communication skills • General computer knowledge including Microsoft Office: Word, Excel, and Outlook • Ability to maintain organization, multi-task and prioritize to manage assignments/projects • Strong knowledge of Brand/Generic drugs and medical terminology • Must currently live in a state Symbria Rx Services is licensed in: AZ, CO, FL, IL, IN, KS, MA, MI, MO, PA, OH, WI • High-speed internet access through a cable or fiber provider; minimum connection and latency requirements based on connected devices • Prescription billing experience; minimum one year preferred

🏖️ Benefits

• Competitive pay, aligned with market guidelines • Full Benefits Package, including very generous paid time off plans • Professional liability coverage • 100% employer-funded ESOP retirement plan • 401(k) and Roth(k) plans • Continuing education • Credit union membership • 100% employee-owned company

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