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Adjudication and Medical Billing Coordinator

Merakey
vision insurance, tuition reimbursement
United States, Pennsylvania, Collegeville
Nov 13, 2024
Life Tree is looking for a Pharmacy Claims Adjudicator for its corporate facility in Collegeville, PA.
About Us:
Life Tree Pharmacy is a for profit subsidiary of Merakey and works with a wide range of facilities and programs to support individuals in the Behavioral Health and Intellectual and Developmental Disability communities.
About the Position:
Experience in dealing with third party insurance carriers, verbally and electronically to achieve the best possible prescription drug regime for our consumers.
* To request follow-up and obtain prior authorizations from insurance carriers when applicable.
* Answers incoming calls, directs to Pharmacist, when appropriate, such as new prescriptions, questions about medication, judgmental decision, etc.
* Completes and processes third-party documents.
* Also performs Pharmacy Technician responsibilities when deemed necessary by his/her supervisor.
Benefits
Merakey offers medical, dental - vision insurance plans, competitive compensation plans and more!
* DailyPay enrollment option
* Work/Life Balance
* Flexible Schedules
* Cell Phone Discount Plans
* Employee Referral Bonuses
* Tuition Reimbursement
* Care.com Membership
About Merakey
Merakey is a non-profit provider of developmental, behavioral health, and education services. More than 8,000 employees provide support to nearly 40,000 individuals and families throughout 12 states across the country each year. Click here to watch a video about Merakey.
Merakey strictly follows a zero-tolerance policy for abuse.
Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply. Merakey welcomes all Veterans to apply!
The successful candidate will have the following:
* Pharmacy and data entry and adjudication preferred.
* Proficient computer entry experience necessary with a good understanding of medical abbreviations and drug knowledge.
* Ability to read and interpret documents such as prescriptions, Physician Order, safety rules, operating and maintenance instructions and procedure manuals.
* To perform this job successfully and individual should have knowledge of Frameworks LTC and Docutrack.
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
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