Arbiter – Failed Claims Technician

This is a fully remote position, open to applicants in Florida.

📋 Description

• Update prescription orders under the guidance of the Pharmacy Supervisor (FL), adhering to pharmacy procedures and protocols.

• Execute routine professional pharmacy tasks.

• Uphold HIPAA confidentiality standards.

• Adhere to and assist in enforcing company policies and procedures.

• Respond to the arbiter email inbox accurately and in a timely manner.

• Manage orders pertaining to failed claims and high co-pay queues.

• Verify insurance details for accurate adjudication.

• Review patient history for refill-too-soon concerns, dosage adjustments, and duplicate prescriptions.

• Initiate prior authorizations accurately and promptly.

• Carry out other assigned responsibilities.

⛳️ Requirements

• High School Diploma or equivalent qualification.

• Registered Pharmacy Technician certification in the State of Florida.

• Minimum of one year experience in a pharmacy setting.

• Understanding of health insurance plans.

• Proficiency in Microsoft Word, Excel, and Outlook.

• Strong attention to detail.

• Capability to manage multiple tasks or interruptions simultaneously.

• Effective, patient, and courteous communication skills.

• Ability to collaborate with pharmacists, other departments, customers, and management.

• Demonstrated ability to work independently with minimal supervision and meet daily deadlines.

• Competence in performing repetitive tasks accurately.

• Capacity to work extended periods while sitting and standing in front of a computer.

• Adequate hand-eye coordination and manual dexterity to operate standard office and computer/phone equipment.

• Willingness to work long hours if required.

🏝️ Benefits

• Competitive salary.

• Health, dental, and vision insurance.

• Retirement plan options.

• Paid time off and holidays.

• Opportunities for professional development and continuing education.