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Manager Claims Adjudication Jobs in Indiana (NOW HIRING)

Onco360

Supervisor - Pharmacy Adjudication

Indianapolis, IN · On-site

$62.25 - $73/hr

We succeed when you do, and our company and management team work hard to foster an environment that ... Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and ...

Onco360

Supervisor - Pharmacy Adjudication

Indianapolis, IN · On-site

$62.25 - $73/hr

We succeed when you do, and our company and management team work hard to foster an environment that ... Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and ...

Sedgwick

Workforce Absence Team Lead

Indianapolis, IN · Hybrid

Provides technical/jurisdictional direction to examiner reports on claims adjudication. * Compiles, reviews, and analyzes management reports and takes appropriate action. * Performs quality review on ...

Sedgwick

Workforce Absence Team Lead

Indianapolis, IN · Hybrid

Provides technical/jurisdictional direction to examiner reports on claims adjudication. * Compiles, reviews, and analyzes management reports and takes appropriate action. * Performs quality review on ...

TrueScripts

Member Care Advocate

Washington, IN · On-site

Become proficient in all aspects of the claims adjudication system. * Communicate recurring problems and systemic concerns to the manager. Requirements Requirements & Qualifications * Pharmacy ...

Elevance Health

Claims Auditor Lead

Indianapolis, IN · Hybrid

Responsible for pre and post payment and adjudication audits of high dollar medical and pharmacy ... Manages projects as assigned and may work across different platforms or lines of business.

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All JobsClaims Adjudication JobsManager Claims Adjudication JobsManager Claims Adjudication Jobs in Indiana

Manager Claims Adjudication information

What is the difference between Manager Claims Adjudication vs Claims Examiner?

AspectManager Claims AdjudicationClaims Examiner
CredentialsTypically requires a bachelor's degree and industry certificationsUsually requires a high school diploma or equivalent, with some certifications preferred
Work EnvironmentSupervisory role overseeing claims processing teamsProcessing and reviewing individual claims, often in an office setting
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, healthcare providers
Primary ResponsibilitiesManaging claims adjudication processes, team leadershipExamining claims for accuracy, compliance, and eligibility

In summary, Manager Claims Adjudication oversees the claims adjudication process and manages teams, requiring more leadership skills and certifications. Claims Examiners focus on reviewing individual claims for correctness and compliance, often with less managerial responsibility.

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The most popular types of Claims Adjudication jobs in Indiana are:

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For Manager Claims Adjudication jobs in Indiana, the most frequently searched job titles are:

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The top searched job categories for Manager Claims Adjudication jobs in Indiana are:

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Manager Claims Adjudication jobs near you

Pharmacy Claims Adjudication Specialist

Onco360

Indianapolis, IN • Remote

$25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

20th of 113 rated pharmacies

Job description

We are seeking a Pharmacy Adjudication Specialist for our Specialty Oncology pharmacy.
As our company continues to grow, we strive to hire new team members with a passion for making a difference in our patient's lives.
Full-Time position may work remotely but MUST HAVE ACTIVE INDIANA PHARMACY TECHNICIAN credentials from the State Board of Pharmacy.
Shift times between 8am and 8pm.
Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.
Starting salary from $25.00 an hour and up
Sign-On Bonus: $5,000 for employees starting before October 31st, 2026.
We offer a variety of benefits including:
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Company paid benefits – life; and short and long-term disability
Pharmacy Adjudication Specialist Major Responsibilities:
The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. 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...
  • Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information..
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
  • Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim.
  • Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays
  • Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible)
  • Manages all funding related adjudications and works as a liaison to Onco360 Advocate team.
  • Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment.
  • Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable.
  • Documents and submit requests for Patient Refunds when appropriate.
  • Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws.
  • Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Pharmacy Adjudication Specialist Qualifications and Responsibilities...
  • Education/Learning Experience
    • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication
    • Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience
  • Work Experience
    • Required: 2+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
    • Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
  • Skills/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
    • Desired: Knowledge of Foundation Funding, Specialty pharmacy experience
  • Licenses/Certifications
    • Required: Pharmacy Technician License/Registration with Board of Pharmacy as required by state law
  • Behavior Competencies
    • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills

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