Remote Pharmacy Claims Adjudication Specialist (Oncology)
$25 per hourOnco360
- Remote job
Onco360 is seeking a Pharmacy Claims Adjudication Specialist in the St. Louis area. The role involves adjudicating pharmacy claims, confirming claim accuracy, and resolving third-party rejections to ensure timely medication delivery. Some remote work may be possible with Missouri Pharmacy Technician credentials. The position offers a sign-on bonus, benefits, and a starting hourly wage of $25.00+. Responsibilities include patient communications, copay management, and coordination with insurance #J-18808-Ljbffr Onco360
$25 per hour
Position: Pharmacy Claims Adjudication Specialist Location: St. Louis, MO Job Id: 5785 # of Openings: 1 W... ...Adjudication Specialist for our Specialty Oncology pharmacy. As our company continues... .... Full-Time position may work remotely but MUST HAVE ACTIVE MISSOURI...Remote workFull timeTemporary workRelocation packageShift work- 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...Remote jobFull timeRelocation package
$80 per hour
...Dorsey . Position: Disability Claims & Underwriting Specialist Type: Contract... ...Compensation: $80/hour Location: Remote Commitment: 2040 hours/week... ...professional experience in disability claims adjudication disability underwriting vocational...Remote workHourly payWeekly payFull timeContract workTemporary workFor contractorsSummer workImmediate start- ...Curant Health in Smyrna, GA is seeking a Claims Adjudication Coordinator to manage billing and adjudication of prescription claims across primary... ...with SOPs. The ideal candidate is a GA-registered Pharmacy Technician with at least 2 years of experience, ready to contribute...Suggested
$24 - $35.75 per hour
...are seeking a detail-oriented Claims Technical Analyst to support a leading healthcare and pharmacy benefits organization. This position... ...RxClaim platform.Location: Remote (U.S.)Schedule: Full-Time |... ...documentation.Research claim adjudication outcomes and identify root causes...Remote workFull timeContract workTemporary workHome officeFlexible hours- Firstsource Solutions Limited is seeking a remote Claims Examiner to analyze documents and adjudicate claims in line with client specifications. You will determine pay/deny decisions and route items for any missing information, ensuring adherence to TAT and SLA while coordinating...Remote job
- MedPOINT Management in Sherman Oaks, CA is seeking a detail-oriented Claims Examiner to join our growing team. This role focuses on accurate and timely processing of medical claims within a healthcare management context. You will review claims, verify eligibility, apply...Remote job
- HealthEdge Software, Inc. is seeking a Claims Examiner II to join our remote team in the United States. You will adjudicate healthcare claims using policy guidelines, review data in the processing system, and determine if services meet coverage criteria. You will pay attention...Remote job
- 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
- ...Into a Rewarding Role as a Claims Specialist with PharMerica! Are you... ...a non-retail, closed-door pharmacy environment, allowing you... ...advance their careers. Remote Flexibility : This position... ...Must have pharmacy claims or adjudication background. What We...Remote jobWork experience placementWork at officeFlexible hoursShift work
$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- ...of CRO operations on EU studies \n · Oncology or hematology clinical trial experience... ...Clinical Trial Manager in the United States (remote, work from home). Newave Pharmaceutical... ...'s degree in life sciences, medicine, pharmacy, or a related field \n Minimum 5...Remote workFull timeContract workWork from homeEarly shift
- ...Infusion is a specialized home infusion pharmacy focused on bringing high-quality... ...experience. Role: Health Insurance Claims Specialist This position reports to the Billing Manager... ...member in the office If you’re seeking a remote role, this position will not be a fit...Remote workWork at officeMonday to Friday
$40k - $52.3k
...part of our caring community The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process... ...Humana is seeking a Patient Finance Specialist that will work on the behalf of CenterWell... ...the entire Pharmacy. Location: Remote Arizona or Ohio only Shift:...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayShift work$35.22 - $43.04 per hour
...actively seeking a talented Sr. Life Claims Specialist to join the Workforce Benefits Division... ...Omaha NE (4 days in office required) or remote in Tennessee. . How you'll help... ...claims experience required, including adjudication of complex claims such as contestability...Remote workWork experience placementWork at officeFlexible hours- ...Claims Examiner The Claims Examiner is responsible for reviewing, processing, and adjudicating complex employee benefit claims with accuracy, timeliness, and regulatory compliance. This role requires deep experience within Third-Party Administration (TPA) environments...Remote work
- ...Sedgwick is seeking a Claims Adjuster - Liability with jurisdiction across All States and remote work options. The role focuses on analyzing complex liability claims, negotiating settlements, and ensuring adjudication aligns with client requirements and best practices....Remote workFlexible hours
- ...NTT DATA is seeking a Remote Claims Processing Associate to join the Plano, Texas team. In this role you will handle professional claims... ...with HIPAA and PHI. The position emphasizes independent adjudication of claims, adherence to SLAs, and accurate calculation of payable...Remote work
$18 per hour
...A global innovator in business services is seeking a Medical Claims Processor in Texas for a remote role. The position requires 2 years of healthcare claims processing and proficiency in Windows applications. Responsibilities include processing claims accurately and adhering...Remote workHourly pay$22 per hour
...Position: Pharmacy Technician - Customer Care Specialist Location: Louisville, KY Job Id... ...through Friday This is a remote work from home position... ...360 Pharmacy is a unique oncology pharmacy model created to... ...knowledge of CPR+ and billing claim responses. Escalate...Remote workFull timeTemporary workWork experience placementWork from homeRelocation packageMonday to FridayShift work$19.77 - $25.68 per hour
...Job SummaryThe Claims Specialist resolves medical claims that are not automatically adjudicated by the claims processing system in a timely and accurate manner according... ...OrientedTeamworkDependabilityLOCATIONThis role is 100% remote. Preference will be given to current...Remote workContract workWork at office- ...Sedgwick is seeking a Workers Compensation Claims Representative to analyze Lost-Time... ...with flexible work arrangements. You will adjudicate benefits, gather information, and determine... ..., client-focused approach in a busy, hybrid/remote environment. #J-18808-LjbffrRemote workFlexible hours
$28 per hour
...Title: Claims Specialist Location: Remote Duration: 03-06 months contract position Shift: Mon to Fri between 7 am to 7 pm AZ time zone (Will... ...~ Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation...Remote workContract workFor subcontractorInterim roleShift work- ...Sedgwick in Blue Ash, OH is seeking a Workers' Compensation Claims Representative to adjudicate complex claims for AZ & TN jurisdictions. You will analyze Lost-Time claims, determine benefits, and ensure timely adjudication per client requirements while supporting a collaborative...Remote work
- ...Description Job Title: Claims Specialist Location: 100% Remote Duration: 6-Month Contract Pay Rate: $18.00 - $20.94/hour on W2 Job Summary... ...Facets , and ensuring accurate and timely claims adjudication. Key Responsibilities # Process, adjust, and...Remote workContract workLocal area
- ...Sedgwick, a global leader in claims administration, is seeking a skilled Lost-Time Workers' Compensation claims analyst for NY jurisdiction. This full-time remote role supports clients across industries, adjudicating complex claims to determine benefits while maintaining...Remote workFull time
$38.22 per hour
...Claims AnalystTrillium Professional is now seeking a Claims Analyst for a contract, remote position in Boston!The assignment will last for 13... ...hour.The Claims Analyst – Pharmacy Revenue Cycle is responsible... ...hospital, medical center, oncology, infusion, or specialty pharmacy...Remote workContract workWork at office- ...Sedgwick is hiring a Claims Adjuster for Workers’ Compensation in a remote US-based role. The ideal candidate analyzes and adjudicates workers’ compensation claims, negotiates settlements, and maintains clear communication with claimants and clients. Licensing in Florida...Remote workFlexible hours
- ...Sedgwick is seeking driven individuals for a remote Claims Examiner Workers Compensation role in the US. This position emphasizes adjudication, negotiation, and strong client communication to determine benefits due while meeting service expectations. The ideal candidate...Remote workFlexible hours
- ...High Dollar Review Specialist Brighton Health Plan Solutions REMOTE- 100% FULL TIME The full job description covers... ...Dollar Specialist to review high dollar claims for appropriate and accurate billing, pricing and adjudication. This individual will play a key in...Remote workFull timeFlexible hours
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