Pharmacy Billing Adjudicator

CVS Health is seeking an experienced Pharmacy Billing Adjudicator to join our team. The ideal candidate will have a passion for providing accurate and timely billing services that exceed customer expectations. We are looking for a professional with a strong work ethic, excellent problem-solving skills, and strong customer service focus. The Pharmacy Billing Adjudicator will be responsible for reviewing pharmacy transactions, claims, and billing.The successful candidate must have a minimum of 3 years' experience in pharmacy billing, adjudication, and/or insurance reimbursement. They must also have a thorough understanding of pharmacy laws, regulations, and contractual requirements. A strong work ethic, excellent communication skills, and the ability to multitask are essential. In addition, the individual must possess a high degree of accuracy and attention to detail.

Responsibilities:

1. Review pharmacy transactions, claims, and billing.
2. Provide accurate and timely billing services that exceed customer expectations.
3. Ensure compliance with all relevant pharmacy laws, regulations, and contractual requirements.
4. Maintain records of all billing activities.
5. Provide excellent customer service by responding to inquiries in a timely manner.
6. Utilize problem-solving skills to resolve billing issues.
7. Maintain a high degree of accuracy and attention to detail.
8. Monitor and adjust billing procedures as needed.
9. Ensure accurate and timely billing of third-party payers.
10. Maintain regular communication with pharmacy staff and billing customers.

According to JobzMall, the average salary range for a Pharmacy Billing Adjudicator is $30,000 to $45,000 per year. This range may vary depending on the experience and qualifications of the individual. The salary can also be higher for those who work in larger health care systems or for those who have additional certifications.

CVS Health Corp. engages in the provision of health care services. It operates trough the following segments: Pharmacy Services, Retail or Long Term Care, and Corporate. The Pharmacy Services segment offers pharmacy benefit management solutions. The Retail or Long Term Care segment includes selling of prescription drugs and assortment of general merchandise. The Corporate segment involves in providing management and administrative services.