Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Pharmacy Rejections Specialist: Claims Resolution in Morton Grove, IL vacancy
  • 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... 
    Suggested
    Shift work
    Afternoon shift

    Specialty Rx, INC.

    Morton Grove, IL
    5 days ago
  •  ...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... 
    Claims
    Temporary work
    Local area
    Shift work
    Night shift
    Weekend work
    Afternoon shift

    Specialty RX

    Morton Grove, IL
    1 day ago
  • 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

    Vivia

    Lincolnwood, IL
    5 days ago
  • $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... 
    Claims
    Full time
    Temporary work
    Work at office
    Local area

    RXPERTS Pharmacy Chicago

    Morton Grove, IL
    4 days ago
  • $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... 
    Claims
    Full time
    Temporary work
    Work at office
    Local area
    Night shift
    Weekend work

    RXPERTS Pharmacy Chicago

    Morton Grove, IL
    2 days ago
  • 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... 
    Claims
    Full time
    Work at office
    Remote work

    Simple Laboratories

    Harwood Heights, IL
    4 days ago
  •  ...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... 
    Claims
    Work at office

    Webdentalchicago

    Skokie, IL
    3 days ago
  •  ...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

    Specialty RX

    Morton Grove, IL
    1 day ago
  • $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)... 
    Claims
    Full time

    Tennessee Cancer Specialists, PLLC

    Niles, IL
    1 day ago
  •  ...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... 
    Claims
    Full time
    Temporary work
    Local area

    Specialty RX

    Morton Grove, IL
    1 day ago
  •  ...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... 

    Specialty Rx, INC.

    Morton Grove, IL
    5 days ago
  •  ...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... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Park Ridge, IL
    4 days ago
  •  ...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... 
    Claims
    Local area
    Immediate start

    Walgreens

    Glenview, IL
    1 day ago
  • $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... 
    Claims
    Work at office
    Local area
    Remote work
    Monday to Friday
    Flexible hours

    CJ Logistics

    Des Plaines, IL
    1 day ago
  •  ...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... 
    Claims
    Work at office
    Local area
    2 days per week
    3 days per week

    Gallagher Bassett

    Rolling Meadows, IL
    5 days ago
  • 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

    MileHigh Adjusters Houston

    Niles, IL
    2 days ago
  • $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

    Patrick Zeunik - State Farm Agent

    Lincolnwood, IL
    5 days ago
  •  ...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

    MileHigh Adjusters Houston

    Park Ridge, IL
    4 days ago
  • 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

    Quorum Health Corporation

    Evanston, IL
    1 day ago
  • 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

    Webster Dental Care

    Skokie, IL
    4 days ago
  • 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... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Wilmette, IL
    5 days ago
  • 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... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Skokie, IL
    5 days ago
  • 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... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Morton Grove, IL
    5 days ago
  • 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

    Curis Services

    Lincolnwood, IL
    5 days ago
  •  ...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... 
    Claims
    Local area
    Flexible hours

    Quorum Health Corporation

    Evanston, IL
    1 day ago
  • $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

    Top Roofing Company in Northern Illinois

    Des Plaines, IL
    7 days ago
  • $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 pay
    Part time
    Shift work
    Weekend work

    Advocate Aurora Health

    Park Ridge, IL
    5 days ago
  •  ...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... 

    Specialty RX

    Morton Grove, IL
    3 days ago
  • $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,... 
    Claims
    Hourly pay
    Full time
    Work at office
    Work from home
    Monday to Friday

    Vivia

    Lincolnwood, IL
    4 days ago
  • $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... 
    Claims
    Hourly pay
    Work at office

    Davis Eye Center

    Lincolnwood, IL
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Pharmacy Rejections Specialist: Claims Resolution. Be the first to apply!