NewAppeals/Billing Specialist JobotAppeals/Billing SpecialistHartford, CTRemote$23–$30 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewMedical-Denial Management Specialist Orthopedic Associates of HartfordMedical-Denial Management SpecialistFarmington, CTThe Medical-Denial Management Specialist analyzes and resolves healthcare insurance claim denials by investigating reasons, preparing appeals, communicating with payers, and collaborating with billing staff to ensure proper reimbursement and prevent future denials. Our growing practice is currently seeking a Medical-Denial Management Specialist with Epic experience to join our Billing & Collections team in our Farmington, Connecticut business office.
NewMedical Director - Hospital Medicine - Mount Sinai Rehabilitation Hospital VituityMedical Director - Hospital Medicine - Mount Sinai Rehabilitation HospitalHartford, CT$275,000–$900,000 / yearEnsure practice is appropriately represented and demonstrates their value through leadership roles (as applicable) and/or participation with hospital management, medical staff leadership, Medical Executive, Medical Staff and other hospital committees, and within the local community. Landmarks like the Mark Twain House & Museum and the Wadsworth Atheneum, the nation’s oldest public art museum, reflect the city’s deep historical and artistic roots.
Claims Examiner Medical Malpractice Diedre Moire Corp.Claims Examiner Medical MalpracticeEast Hartford, CT$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
NewMedical Director - Emergency Medicine - Mercy Medical Center - Springfield VituityMedical Director - Emergency Medicine - Mercy Medical Center - SpringfieldSpringfield, MAEnsure practice is appropriately represented and demonstrates their value through leadership roles (as applicable) and/or participation with hospital management, medical staff leadership, Medical Executive, Medical Staff and other hospital committees, and within the local community. Families and adventure-seekers alike enjoy Six Flags New England just across the river, while nearby Forest Park—one of the largest urban parks in the country—provides trails, gardens, and a zoo.
NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorTorrington, CTRemote$57,400–$99,000The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Oracle Utilities CCS Billing Variance Triage Lead Accenture PlcOracle Utilities CCS Billing Variance Triage LeadHartford, CTYou combine technical depth with sharp communication skills - you can translate variance root cause into clear defect records and present crisp summaries to program leadership. Use SQL to investigate variance root cause at the data level, including rate engine execution differences, interval data discrepancies, NESB logic, and AMI/interval data handling.
Pre-Billing Specialist (Office, Billing, Finance) - HomeCare Hartford HealthCare CorpPre-Billing Specialist (Office, Billing, Finance) - HomeCareVernon, CTMaintain up-to-date knowledge of payer guidelines and regulatory changes to ensure billing readiness for Medicare, Medicaid, and commercial payers, while also assisting in training staff on documentation and billing compliance best practices. The Pre-Billing Specialist must have healthcare experience, preferably in a home health or hospice environment, and a strong working knowledge of auditing or clinical documentation review.
Medical Billing Specialist Mi Familia & Summit Home Health and HospiceMedical Billing SpecialistHartford, CTRemote$58,000–$74,000The Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services.
ACCOUNTS RECEIVABLE LONGTERM CARE BILLING SPECIALIST Berkshire Healthcare Systems IncACCOUNTS RECEIVABLE LONGTERM CARE BILLING SPECIALISTSpringfield, MAThis is accomplished by using knowledge of third-party reimbursement, Integritus Healthcare policies and collection techniques and accounting principles to insure the timely financial resolution of each account. Integritus Healthcare is a long-term Care, Senior Living and Housing company located in the Berkshires with locations throughout Massachusetts.
Claims Billing Specialist HARTFORD DISPENSARY, THEClaims Billing SpecialistManchester, CTRoot Center has approved sites for the following NHSC Loan Repayment Programs: The Loan Repayment Program, Students to Service Loan Repayment Program, Rural Community Loan Repayment Program and Substance Use Disorder Workforce Loan Repayment Program. $2000 provided annually for tuition, license reimbursement, certifications or other educational activities, including 3 paid training days for educational activities and conferences; an additional $1000 available for counselors seeking outside supervision hours when such cannot be provided in the organization internally.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorCT$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Patient Account Specialist: Billing & Patient Accounts- 7056 CHR CareerPatient Account Specialist: Billing & Patient Accounts- 7056Windsor, ConnecticutPerforms editing and rebilling of claims, follows up on denials, processes appeals and all other steps necessary to get a claim paid for Husky and Project Safe payer. Conducts collection follow-up activity on unpaid medical claims for Husky and Project Safe payer and back up to all other payers (as needed), according to departmental procedures.
Medical Billing Document Scanner J. MorrisseyMedical Billing Document ScannerFarmington, CTThe Role: This role process' the billing information from the insurance companies, sorts and scans it, organizes it and forwards it to the billing department to build their queue's. The Department: This Department manages the documents provided by the insurance companies before they are sent to the billing / follow up department.
NewBill Review Analyst Team Lead CorVel CorpBill Review Analyst Team LeadEast Hartford, CT$22.12–$33.05 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Contracts Billing Clerk Apidel TechnologiesContracts Billing ClerkSpringfield, MAContractorEligible candidates are needed to start immediately through July 3rdwith the option to extend based on Departments continued need. The Department of Developmental Services is seeking 2 highly qualified Contract Billing clerks in our Springfield, MA office.
Billing Manager HARTFORD DISPENSARY, THEBilling ManagerManchester, CT$55,000–$80,000 / yearRoot Center has approved sites for the following NHSC Loan Repayment Programs: The Loan Repayment Program, Students to Service Loan Repayment Program, Rural Community Loan Repayment Program and Substance Use Disorder Workforce Loan Repayment Program. $2000 provided annually for tuition, license reimbursement, certifications or other educational activities, including 3 paid training days for educational activities and conferences; an additional $1000 available for counselors seeking outside supervision hours when such can not be provided in the organization internally.
Bill Review Analyst I CorVel CorpBill Review Analyst IEast Hartford, CT$16.94–$23.42 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
MEDICAL BILLING MANAGER Berkshire Healthcare Systems IncMEDICAL BILLING MANAGERMAFrom post-surgery and post-hospital rehabilitation to long-term care for a chronic illness, our highly skilled care teams provide compassionate attention and specialized care every step of the way. Name of your nursing home, has been caring for area families since 1989, providing top-quality skilled nursing care for short-term rehabilitation and long-term care.
Senior Billing Specialist Relativity ODA LLCSenior Billing SpecialistCT$60,000–$90,000 / yearRequired Skills: Accounts Receivable (AR), Billing, Communication, Customer Service, Data Entry, Enterprise Resource Planning (ERP) Systems, Invoices, Microsoft Excel, Payment Processing. The Senior Billing Specialist is a key contributor to the OTC team, responsible for the accurate and timely preparation of customer invoices, contract processing, and billing documentation across a broad range of product lines and billing models.
NewBill Review Analyst Team Lead CorVel Healthcare CorporationBill Review Analyst Team LeadEast Hartford, CT$22.12–$33.05 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerCTRemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Bill Review Analyst I CorVel Healthcare CorporationBill Review Analyst IEast Hartford, CT$16.94–$23.42 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Administrative & Billing Coordinator Hamilton ConnectionsAdministrative & Billing CoordinatorWEST SPRINGFIELD, MAAnswer and direct incoming phone calls - Perform order entry and maintain customer account profiles - Manage invoicing, cash receipts and billing support functions - Prepare invoices for email and mail distribution - Maintain filing systems . - Have strong interpersonal skills - Have excellent organizational skills - Have experience with Microsoft Office
Utilization Review Therapist: Billing and Patient Accts- Masters Required- Remote! 7071 CHR CareerUtilization Review Therapist: Billing and Patient Accts- Masters Required- Remote! 7071Windsor, ConnecticutRemoteFREE robust training curriculum, featuring our brand-new Clinical Training Series for interactive learning, practical skill enhancement, and professional growth! Works with service director to ensure that IOP and Residential documentation and programming meet all relevant regulatory and funder expectations.
NewManager, Billing and AR Follow-up - 40hrs Connecticut Children's Medical CenterManager, Billing and AR Follow-up - 40hrsHartford, CTUnder minimal supervision of the Director of Revenue cycle the Billing Manager coordinates and manages the revenue cycle functions, including but not limited to billing, insurance follow up, cash application, patient credit balances, denial management, mail, scanning, data entry and other miscellaneous functions. The Manager provides direction and support to staff, promotes staff development and collaborates with other managers, directors and administrative staff to ensure operations function in a safe, effective, and fiscally responsible manner.
Accts Rec & Denial Spec 2 / PA Medicare Billing Hartford HealthCare CorpAccts Rec & Denial Spec 2 / PA Medicare BillingFarmington, CTPrimary Location: Connecticut-Farmington-9 Farm Springs Rd Farmington (10566). Job Description - Accts Rec & Denial Spec 2 / PA Medicare Billing (26152772).
SAP IS-U Billing & Rates Lead - Utilities Industry Accenture PlcSAP IS-U Billing & Rates Lead - Utilities IndustryHartford, CTAs part of Accenture's Utilities SAP Practice, you'll be delivering major SAP solutions and Utilities-specific capabilities such as customer systems, energy data management, demand response, asset operations, regulatory reporting, Distributed Energy Resources (solar panels, batteries, electric vehicle chargers), and new Utility business models. Then join Accenture and build a rewarding career improving the way the world works and lives, as you help clients innovate with leading-edge SAP and Accenture Customer, Sales and Service solutions and technologies on some of the most innovative projects in the world.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorCT$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Cust Svc Rep Single Bill Offic / PA Customer Service Hartford HealthCare CorpCust Svc Rep Single Bill Offic / PA Customer ServiceFarmington, CTPrimary Location: Connecticut-Farmington-9 Farm Springs Rd Farmington (10566). Job Description - Cust Svc Rep Single Bill Offic / PA Customer Service (26153774).
Epic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full Time SolutionHealthEpic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full TimeCTEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Accenture Billing & Payments (ABPE) Sales Director - USA Accenture PlcAccenture Billing & Payments (ABPE) Sales Director - USAHartford, CTCollaborate with Product Marketing, Lead Origination, Pre-Sales, Product Management, Professional Services, and Engineering teams to ensure client needs are met and sales origination and pursuits are successful and feedback loops are engaged/active - culture of continuous improvement on product value. Products and platforms have built-in value propositions for account teams looking to: • Originate to Win • Accelerate to Cloud • Improve Time-to-Value • Build in Profitability Uplift • Deliver Exponential ROI • Realize what New becomes Next • Let there be change.
Quality Billing Manager Waste Management IncQuality Billing ManagerWindsor, CTWM has the largest disposal network and collection fleet in North America, is the largest recycler of post-consumer materials and is the leader in beneficial reuse of landfill gas, with a growing network of renewable natural gas plants and the most gas-to-electricity plants in North America. WM's fleet includes nearly 11,000 natural gas trucks - the largest heavy-duty natural gas truck fleet of its kind in North America - where more than half are fueled by renewable natural gas.
NewMedical Receptionist, Full-Time American Family CareMedical Receptionist, Full-TimeWest Hartford, CT$21–$24.50 / hourClear Career Path: Grow with AFC into roles like Billing Specialist, Revenue Cycle Analyst, or Front Desk Supervisor — or move into clinic leadership and management as we continue expanding to 500+ locations. Apply today and be part of Dr. Bruce Irwin's vision to provide the best healthcare possible in a kind and caring environment while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient.
Denials Management Medical Specialist Ledgent Finance & AccountingDenials Management Medical SpecialistFarmington, Connecticut$23–$25.50 / hourThis is an excellent opportunity for an experienced medical billing professional who thrives in a fast-paced environment and enjoys resolving claim issues, managing denials, and ensuring timely reimbursement. Maintain accurate account notes regarding claim submissions, denials, appeals, and resolutions.
(Certified Professional Medical Coder) Professional Review Specialist II CorVel Corp(Certified Professional Medical Coder) Professional Review Specialist IIEast Hartford, CT$22.17–$35.66 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Accts Rec & Denial Spec 2 / PA Third Party Follow Up Hartford HealthCare CorpAccts Rec & Denial Spec 2 / PA Third Party Follow UpFarmington, CTPosition Summary: Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR) or Claims Supervisor, assure timely and accurate submission of claims on UB04 or HCFA1500 (bills), monitor responses from clearinghouse, review Electronic Fund Transmission (EFT) responses, respond on underpayments or overpayments via payer portal, payer chat or payer customer service, analyze claim adjustment reason codes, analyze remittance advice remark codes and any revenue cycle activities associated with outstanding insurance balances across all Hartford HealthCare hospitals, medical group and homecare. Initiates, updates, resolves denials and payment variances and takes action to resolve account including drafting and submitting appeals, identifying specific reason for underpayments, denials and cause of payment delays.
Certified Professional Coder - Professional Review Specialist II CorVel CorpCertified Professional Coder - Professional Review Specialist IIEast Hartford, CT$22.17–$35.66 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Accounts Receivable Specialist Hebrew Center for Health & RehabilitationAccounts Receivable SpecialistWest Hartford, ConnecticutFull timeToday, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. If you are passionate about ensuring our resources are optimized to provide the best care to our residents, in an environment where your expertise and dedication are valued and appreciated, we invite you to join our team as an Account Receivable Specialist.
Medical Biller / Insurance follow up J. MorrisseyMedical Biller / Insurance follow upFarmington, CTResponsibilities performs financial investigations to determine debtors ability to pay; sets up payment plans; performs phone collections to various sources; performs mail collections by using a prescribed set of dunning and/or specialized correspondence; recommends rebilling to third parties if appropriate; refers accounts to outside collection agencies; follows through with wage executions/property liens; recommends referrals to small claims court; enters claims into small claims court; may represent the Health Center in court; Manage and follow up on outstanding hospital and medical accounts receivable balances. The ideal candidate will have strong hospital billing and healthcare Medicare/ Medicaid collections experience with a proven ability to resolve outstanding accounts efficiently and accurately.
IT Director (Hybrid) Intact Specialty SolutionsIT Director (Hybrid)Farmington, ConnecticutThe ideal candidate brings strong leadership across policy administration modernization, underwriting workflows, cloud architecture, API/event-driven integration, platform design patterns, AI-enabled decision support, and organizational change management. The Director will partner with underwriting, product, architecture, operations, and delivery leaders to evolve legacy capabilities into a modern, cloud-enabled, scalable platform that improves speed to market, underwriting efficiency, resiliency, and data-driven decision-making.
Call Center Specialist, Harrington Hospital, Southbridge - 40 Hours, Days UMass Memorial Health Care IncCall Center Specialist, Harrington Hospital, Southbridge - 40 Hours, DaysSouthbridge, MAExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Answer telephones, engages clinical staff when appropriate for assistance, keep calls to an average of 4 minutes and consistently handles an average of 100 calls per shift.
Call Center Specialist, Harrington Hospital, Southbridge - 40 Hours, Days UMass Memorial HealthCall Center Specialist, Harrington Hospital, Southbridge - 40 Hours, DaysSouthbridge, MassachusettsSupport the practices by answering telephone inquiries, scheduling appointments, registering new patients, and maintaining records and accounts. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve.
Supv Accts Rec FollowUp Denial / PA Third Party Follow Up Hartford HealthCare CorpSupv Accts Rec FollowUp Denial / PA Third Party Follow UpFarmington, CTPosition Summary: Responsible for the daily operations of an Accounts Receivable (AR) Follow Up team, tasked with timely and accurate collection of third-party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare Hospitals, Medical Group and Homecare to insure optimal revenue cycle performance. Job Title(s) of HHC positions reporting to this Job: Direct supervision of AR Team Lead and AR Collections Specialists in their efforts to review and resolve issues related to insurance claim denials, no response claims and payment variances including underpayments and overpayments.
Certified Professional Coder - Professional Review Specialist II CorVel Healthcare CorporationCertified Professional Coder - Professional Review Specialist IIEast Hartford, CT$22.17–$35.66 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Financial Counselor / PA Self Pay Hartford HealthCare CorpFinancial Counselor / PA Self PayFarmington, CTThe financial counselors help patients to obtain coverage, financial assistance, free bed funds and/or payment plans in order to assist with payment of their outstanding balances. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.
Senior Clinical Consultant, Health and Risk Solutions Sun Life Financial IncSenior Clinical Consultant, Health and Risk SolutionsHartford, CT$78,600–$117,900 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Manager, Revenue Integrity - 40hrs Connecticut Children's Medical CenterManager, Revenue Integrity - 40hrsEast Hartford, CTReporting to the Revenue Integrity Director, the Manager of Revenue Integrity works collaboratively with others to optimize workflows and related information systems to help ensure accurate, complete, timely documentation, charges and coding of services. Works collaboratively with Professional Coding, Facility Coding and Compliance (when indicated) with performing appropriate reviews, investigating trends and patterns, and providing education regarding documentation, charge capture, charge reconciliation, billing/coding guidelines and denials.
NewSenior Claim Technical Specialist IFG CompaniesSenior Claim Technical SpecialistHartford, CT$110,000–$120,000 / yearThe Senior Claim Technical Specialist ("SCTS") is a high-impact role focused on investigating, evaluating, negotiating and settling serious injury/damage claims involving complex coverage and large loss exposures in multiple jurisdictions. It combines a specialty-carrier focus with long-term stability and thinking, while promoting a culture of underwriting rigor, collaboration, strategic thinking, superior technology and strong producer partnerships.
NewPharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistHartford, ConnecticutSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.