Pharmacy Adjudicator

A company is looking for an Adjudicator to join their Specialty pharmacy team in a remote capacity. Key Responsibilities Manage daily claims and resolve rejected claims in the SPRX C system Process credit card charges for refill patients and verify daily shipments Assist with various pharmacy tasks, maintain patient records, and support a positive work environment Required Qualifications High School Diploma/GED required; some college work preferred Minimum of one year of experience with patient accounts in a pharmacy or healthcare setting Understanding of insurance, prior authorization, and patient benefits preferred Computer experience is mandatory Must be eligible for participation in applicable State and Federal reimbursement programs

Jun 14, 2025 - 11:10

A company is looking for an Adjudicator to join their Specialty pharmacy team in a remote capacity. Key Responsibilities Manage daily claims and resolve rejected claims in the SPRX C system Process credit card charges for refill patients and verify daily shipments Assist with various pharmacy tasks, maintain patient records, and support a positive work environment Required Qualifications High School Diploma/GED required; some college work preferred Minimum of one year of experience with patient accounts in a pharmacy or healthcare setting Understanding of insurance, prior authorization, and patient benefits preferred Computer experience is mandatory Must be eligible for participation in applicable State and Federal reimbursement programs