Remote-Eligible Pharmacy Claims Adjudication Specialist
Onco360
- Remote job
Onco360 is seeking a Pharmacy Claims Adjudication Specialist in Columbus, OH. The role requires OH Pharmacy Technician credentials and offers a full-time schedule with potential remote work between 8am and 8pm. Starting pay is $23/hour with a $5,000 sign-on bonus for hires before December 31, 2026. The position includes benefits such as 401k, PTO, tuition reimbursement, and company-paid life and disability coverage. #J-18808-Ljbffr Onco360
$22 per hour
...We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy working... ...-Time position.This is a remote/hybrid opportunity, Shift... ...will adjudicate pharmacy claims, review claim responses... ...only applied to claims for eligible patients based on set criteria...Remote workFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work- MedPOINT Management in Sherman Oaks, CA is seeking a detail-oriented Claims Examiner to join our growing team. This role focuses on... ...healthcare management context. You will review claims, verify eligibility, apply coding standards (ICD-10, CPT, HCPCS), resolve discrepancies...Remote job
$61k - $113k
...00.00 Job Category: Claims Description At Liberty... ...optimizes both remote and in-person interactions... .... The Claims Specialist analyzes complex Personal... ...benefits owed, manages and adjudicates highexposure claims to... ...about coverage and eligibility, evaluating losses,...Remote workFull timeWork experience placementWork at officeLocal area- An established insurance client in Austin is seeking a Remote Long Term Care Claims Eligibility Specialist. This position requires 5+ years of claims management experience and a certification/licensure as LVN, LPN, or LSW. Responsibilities include investigating claims,...Remote jobFlexible hours
- Overview The HT Group has partnered with an established insurance client in Austin, TX looking for a Remote Long Term Care Claims Eligibility Specialist who is experienced, detail-oriented, and customer-focused to review and manage claims of varying complexity. This is...Remote jobWeekly payTemporary workWork at officeFlexible hours
- Sutherland is hiring remote support specialists to assist one of our largest health insurance customers. You will handle claims, authorizations, eligibility verifications, and education on self-service tools like Availity. This is a weekday, 8 AM-5 PM EST role with paid...Remote jobWeekday work
- VytlOne is seeking a 340B Pharmacy Claims Reviewer to perform scheduled... ...documentation to verify 340B eligibility and prevent duplicate discounts... ...with the 340B Account Specialist and stakeholders to strengthen... ..., and documenting findings. Remote work is available with a competitive...Remote job
$41.6k - $66.56k
...Description We’re hiring a Claims Specialist to join the Claims... ...Specialist reviews and timely adjudicates claims and administers them... ...methods by reviewing benefit eligibility, claims history and other information... ...you flexibility to work remotely with intentional in-person...Remote workWork at officeLocal areaFlexible hours2 days per week- ...of Economic Security (DES) is hiring an Adjudicator for the Division of Employment and... ...applications for public assistance, determining eligibility, and providing guidance to clients... ...position offers a stable benefits package and remote-work possibilities based on performance...Remote jobWork at officeFlexible hours
$27.52 per hour
...Position Summary The Claims Technical Review Specialist provides advanced technical review of all types... ...claims processing and claims adjudication principles and procedures. Excellent... ...of coverage related to benefits, eligibility, exclusions, and limitations. Ability...Remote workLocal area- ...This approach optimizes both remote and in-person interactions,... ...tasks and projects. The Claims Specialist analyzes complex Personal Injury... ...benefits owed, manages and adjudicates high‑exposure claims to... ...about coverage and eligibility, evaluating losses, medically...Remote workWork experience placementWork at officeLocal area
$18.5 - $42.35 per hour
...Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established... ...claims and those that exceed specialist adjudication authority or... ...determines coverage, verifies eligibility, identifies discrepancies, and...Remote workHourly payFull timeWork experience placementLocal area$17 per hour
...Industrial comes in. We’re seeking Claims Specialist to work in a temporary to hire... ...weeks of training, you will become a remote worker You must have HIGH SPEED internet... ...benefits reflect Kelly's general offerings. Eligibility may vary by assignment, location, and...Remote workTemporary workWork at officeLocal areaWork from homeMonday to FridayFlexible hoursShift work- ...seeks a detail‑oriented professional for the Absence Leave Solutions team. You will review, adjudicate, and manage ADA, FMLA, PFML, and BCEL leave claims, ensuring eligibility and timely communication with employees and stakeholders while upholding federal and state policies...Remote jobWork at officeHome office
- A leading health insurance provider in Seattle is seeking a Claims Processor to oversee claims adjudication for various types. Responsibilities include processing Institutional, Professional, and Dental claims, while adhering to privacy and quality standards. The ideal...Remote jobFlexible hours
$91.7k - $163.7k
...connecting people with the care, pharmacy benefits, data and resources... ...an Epic Professional Billing Claims Analyst with hands-on... ...enjoy the flexibility to work remotely * from anywhere within the U.... ...(all benefits are subject to eligibility requirements). No matter where...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area- Disability Claims & Underwriting Specialist is a remote review track for evaluating AI outputs across finance and... ...$800 / hr · Location: Remote — US-eligible · Contractor Disability Claims & Underwriting... ...and rate the citation quality. Adjudicate a disputed treatment between two...Remote workFor contractorsWork experience placement10 hours per week
$20 - $25 per hour
...Claims Referral Specialist II (Remote - Eastern Time Zone State) Bring Your Dental Claims Expertise to... ...and efficiently. Review and adjudicate claims in accordance with plan guidelines... ...Provider Data Management Eligibility Clinical Services Member...Remote workWork at officeImmediate startRelocationVisa sponsorshipFlexible hours$5,000 per month
...Health Services, is a long‑term care pharmacy services provider that supplies medications... ...the United States. The 3rd Party Claims Specialist Team Lead is a subject matter expert (... .... Shift: Evening and Weekends Remote position Benefits and perks for...Remote workFlexible hoursShift workWeekend workAfternoon shift$59.06k - $90k
...-NY-Honeoye Job Category Claims and Investigation Position... ...Property Field Inspection Claim Specialist and showcase your expertise... ...4879 14885 14898 This is a Remote-Field position in which you... ...our competitive pay, you are eligible for an annual raise and bonus...Remote workFull timeWork experience placementInternshipWork at officeLocal areaWork from homeFlexible hours$61k - $113k
...1000.00 - $113000.00 Job Category: Claims Description Are you looking for an... ...for a Workers Compensation Claims Specialist within the West Region! As a Workers... ...considered in all locations and may be eligible for 100% remote work. Please note that this policy is...Remote workFull timeWork experience placementLocal area- Marsh McLennan Agency Midwest is seeking a Claims Representative to support the coordination of communication among clients, claim examiners, carriers, and captive managers. You will respond to inquiries, guide reporting guidelines, and provide overall support to the TPA...Remote job
$100k - $130k
...Job Description Location: Remote ERGO NEXT's mission is... ...you come in. As a Claims Specialist, you will be deemed a subject... ...management as part of your ongoing adjudication of claims Manage,... ...are also potentially eligible for our annual performance-...Remote workFull timeContract workLocal areaFlexible hours$91.7k - $163.7k
...outcomes by connecting people with the care, pharmacy benefits, data and resources they need... ....You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you... ...contribution (all benefits are subject to eligibility requirements). No matter where or when...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$112.7k - $193.2k
...outcomes by connecting people with the care, pharmacy benefits, data and resources they need... .... You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you... ...contribution (all benefits are subject to eligibility requirements). No matter where or when...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$80 per hour
...Jack Dorsey . Position: Disability Claims & Underwriting Specialist Type: Contract Compensation: $80/hour Location: Remote Commitment: 20–40 hours/week... ...professional experience in disability claims adjudication, disability underwriting, vocational...Remote workHourly payWeekly payContract workTemporary workFor contractorsSummer workImmediate start$22.4 - $30.87 per hour
...RCIS Crop Claims Specialist Or Claims Crop Field Adjuster I Zurich is currently looking for... ...participate on CAT team and/or provide remote assistance for the CROP Claims Care Center... ...fair compensation. You may also be eligible for bonuses and merit increases. If your...Remote workHourly payTemporary workSummer workWork at officeLocal areaFlexible hours$44.94k - $71.78k
...Field Office: Casualty Claims Division Department... ...candidate is hired. Position may be eligible for an annual bonus payment.... ...Work location: This is a remote, work-from-home position.... ...Responsibilities Investigates and adjudicates claims within designated...Remote workFull timeTemporary workWork at officeWork from homeHome officeMonday to FridayAfternoon shiftWeekday work- ...each other to do our best work. Join us, and let’s improve lives together. **This position is eligible to work from home anywhere in the US** The Casualty Claims Specialist exercises independent judgment in the investigation, negotiation, and disposition of auto and...Remote workWork at officeLocal areaWork from home
$22 - $24 per hour
...Claims Specialist – Out-of-Network Claims Remote – Must Reside Arizona | $22–$24/Hour | Out-of-Network Experience REQUIRED MUST HAVE OUT-OF-NETWORK... ...and out-of-network reimbursement processes Perform eligibility and benefits verification Apply air ambulance-specific...Remote workFull timeWork at officeMonday to FridayFlexible hoursShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote-Eligible Pharmacy Claims Adjudication Specialist. Be the first to apply!
- pharmacy specialist Columbus, OH
- claim examiner Columbus, OH
- medical insurance claims specialist Columbus, OH
- claim representative (remote) Columbus, OH
- claims consultant Columbus, OH
- claim specialist Columbus, OH
- claims specialist remote Columbus, OH
- remote medical claims processor Columbus, OH
- claims resolution specialist Columbus, OH
- medical claims analyst Columbus, OH






