Pharmacy Rejections Specialist: Claims Resolution
SpecialtyRx, Inc
SpecialtyRx, Inc. in Morton Grove, IL is seeking a Third-Party Rejections Specialist focused on hands-on management of third-party insurance rejections. You will research eligibility, verify coverage, and resolve rejections to keep claims moving efficiently. Candidates must reside in Illinois. The role requires meticulous attention to detail, strong problem-solving, and the ability to work independently or with the billing team to meet daily targets. #J-18808-Ljbffr SpecialtyRx, Inc
- SpecialtyRx, Inc. in Illinois is hiring a Third-Party Rejections Specialist to manage research, resolution, and processing of pharmacy insurance rejections. This role emphasizes hands-on third-party rejection experience and strong communication with insurers. You will...SuggestedShift workAfternoon shift
- ...fast-growing Long-Term Care pharmacy dedicated to providing... ...currently seeking a Third-Party Rejections Specialist to join our team. This... ...issues, coverage changes, and claim updates. Investigate and... ...party rejection processing/resolution . Strong computer...ClaimsTemporary workLocal areaShift workNight shiftWeekend workAfternoon shift
- Vivia Health is seeking a Denial Specialist to support patient-relations and financial sustainability by researching, resolving, and preventing denied, rejected, or underpaid healthcare claims. This onsite role requires meticulous review of payer responses, documentation...Claims
$60 - $62 per hour
...Company SpecialtyRx is a Long-Term Care pharmacy providing pharmaceutical services to... ...authorization submissions, resolving insurance claim rejections, and ensuring patients receive timely... ...or administrative steps to facilitate resolution. Communicate with prescribers and...ClaimsFull timeTemporary workWork at officeLocal area$20 - $23 per hour
...SpecialtyRx is a Long-Term Care pharmacy providing... ...Authorization & Insurance Billing Specialist Position Summary... ..., resolving insurance rejections, and ensuring accurate... ...of retail pharmacy claims and a preference for... ...to ensure timely resolution. Perform monthly patient...ClaimsFull timeTemporary workWork at officeLocal areaNight shiftWeekend work- Position: Billing and Denial Claims Specialist Location: Harwood Heights, IL Remote Status: On-Site... ...Monitor and manage denied, rejected, and underpaid laboratory claims from initial identification through resolution. Research denial reasons and determine...ClaimsFull timeWork at officeRemote work
- ...position plays an important role in managing dental insurance claims, patient accounts, and accounts receivable while helping ensure... ...outstanding and unpaid insurance claims Research claim denials, rejections, and underpayments and take appropriate follow‑up action...ClaimsWork at office
- ...SpecialtyRx, Inc. is a Long-Term Care pharmacy seeking a knowledgeable Prior Authorization Pharmacist to join our Illinois team.... ...review coverage requirements, support PA submissions, resolve claim rejections, and ensure timely access to prescribed medications for long-...Claims
$100k - $150k
...entire operation of the oral dispensing pharmacy, from receipt and clinical review of... ...coordination, formulary review, and resolution of coverage or claim issues before dispensing.... ...structure. About Illinois Cancer Specialists Illinois Cancer Specialists (ICS)...ClaimsFull time- ...SpecialtyRx is a Long-Term Care pharmacy providing pharmaceutical... ...: End-of-Month Billing Specialist. Position Summary: We... ...billing discrepancies, rejected claims, and missing information.... ...follow up to ensure timely resolution. Communicate with internal...ClaimsFull timeTemporary workLocal area
- ...a detail-oriented Prior Authorization & Insurance Billing Specialist to join our Long-Term Care Pharmacy Billing Department. You will research insurance coverage, process prior authorizations, resolve rejections, and maintain accurate patient billing records. The ideal...
- ...A leading insurance firm is seeking Licensed Claims Adjusters to join their team. This role offers a rewarding career with opportunities for growth and flexibility in a dynamic industry. The ideal candidates will have experience in handling claims and will receive comprehensive...ClaimsFlexible hours
- ...for overseeing the daily operations of the pharmacy department and is accountable for workflow... ...systems and procedures to lessen payment rejections. Resolves third party rejection problems promptly, and resubmits rejected claims for payment on a timely basis. Manages...ClaimsLocal areaImmediate start
$124k - $135k
...salary (exempt) Incentive eligible: No CJ Logistics America is seeking a Risk Insurance Manager to lead risk identification, claims resolution, and insurance compliance across our 3PL operations. In this pivotal role, you will manage end-to-end commercial, property, cargo...ClaimsWork at officeLocal areaRemote workMonday to FridayFlexible hours- ...doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you'll play a... ...involved in the claim process to ensure effective communication and resolution. Provide exceptional customer service to our claimants on...ClaimsWork at officeLocal area2 days per week3 days per week
- A claims adjustment firm in Illinois is seeking Independent Insurance Claims Adjusters to respond to the growing demand in the wake of storm-related events. This role provides support to individuals and businesses affected by disasters. As a Licensed Claims Adjuster, you...Claims
$50k - $70k
...Manage customer accounts and update information in the database.Assist customers with policy changes and inquiries.Process insurance claims and follow up with customers on claim status.Coordinate with underwriters to ensure timely policy issuance.Qualifications:Strong...Claims- ...Overview IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities...Claims
- Evanston Clinic Corp in Evanston, WY is seeking a billing specialist to manage paper and electronic insurance claims, monitor accounts, and respond to inquiries. You will work closely with clinic staff, providers, and patients to ensure accurate, on-time billing and optimal...Claims
- Webster Dental Care in Skokie, IL, is seeking a detail-oriented Billing Coordinator to manage dental insurance claims, patient accounts, and accounts receivable, ensuring services are billed accurately and collected timely. This role requires strong knowledge of dental...Claims
- A prominent claims adjustment company is seeking Independent Insurance Claims Adjusters in Wilmette, IL. This role offers flexible schedules and meaningful work helping clients recover from disasters. The company provides comprehensive training programs conducted by industry...ClaimsFlexible hours
- A leading adjuster training company in Skokie, Illinois, is seeking Independent Insurance Claims Adjusters. This role offers a chance to make a meaningful impact on people's lives following disasters while enjoying flexibility and competitive pay. Comprehensive training...ClaimsFlexible hours
- A claims adjusting training firm located in Morton Grove seeks Independent Insurance Claims Adjusters to embark on a rewarding career. This role offers comprehensive training for newcomers and expects some experience handling claims. You will play a vital role in helping...ClaimsFlexible hours
- Medicaid Managed Care Specialist SUMMARY: The Medicaid managed Care Specialist works to review, investigate and follow-up on various insurance claims. ESSENTIAL DUTIES AND RESPONSIBILITIES Ensure that established accounting procedures are followed for processing insurance...Claims
- ...Evanston, WY 82930, USA Description Job Summary: Responsible for billing both paper and electronic primary and secondary insurance claims to the appropriate payer, monitoring outstanding accounts and reviewing for accuracy and completeness. Completes timely and...ClaimsLocal areaFlexible hours
$125k - $175k
...Speak to homeowners educate them on their roofing issues and conduct a Free roof inspection to take pictures and help them submit a claim if it's storm damaged. Requirements ▪ Previous roofing sales or home services sales experience ▪ Comfortable canvassing neighborhoods...Claims$24.1 - $36.15 per hour
Advocate Aurora Health seeks a Part-time Pharmacy Technician to obtain medication histories at Advocate Lutheran General Hospital in Park Ridge, IL. Requires state licensure and a CPhT or ExCPT certification, plus a high school diploma. Shifts include 6:30 am-3:00 pm and...Hourly payPart timeShift workWeekend work- ...SpecialtyRx is seeking an End-of-Month Billing Specialist in Illinois to ensure accurate monthly invoicing for long-term care facilities... ...while meeting tight monthly deadlines in a fast-paced pharmacy environment. The role requires attention to detail, ability...
$26 - $31 per hour
...hour Position Overview The Denial Specialist supports Vivia Health’s mission,... ...resolving, and helping prevent denied, rejected, or underpaid healthcare claims. This role reviews payer responses... ...Claims Review and Denial Resolution Review assigned denied, rejected,...ClaimsHourly payFull timeWork at officeWork from homeMonday to Friday$19 per hour
...They also support the financial success of our practice by handling patient accounts, collecting patient copays, and filing insurance claims. Prior office experience is beneficial, but not required, as we have a comprehensive training program. If you pride yourself on a...ClaimsHourly payWork at office
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