SpecialtyRx is a Long-Term Care pharmacy providing pharmaceutical services to long term care facilities and assisted living communities. SpecialtyRx takes pride in delivering personalized care and quality pharmacy services.
NOTICE: SpecialtyRx is seeking Insurance Research Team located in the Ridgefield Park, NJ location.
Insurance Research Team ensures accurate insurance information, resolving claim rejections, and maintaining compliance with payer requirements. This role focuses on researching, verifying, and updating patient insurance coverage to optimize reimbursement and minimize billing delays.
Key Responsibilities
- Verify patient insurance coverage (Medicare, Medicaid, Managed Care, Commercial plans)
- Confirm eligibility, coverage limitations, and coordination of benefits (COB)
- Update and maintain accurate insurance information in pharmacy systems
- Investigate and resolve rejected or denied claims in a timely manner
- Analyze rejection codes and determine appropriate corrective actions
- Work closely with billing and adjudication teams to rebill claims correctly
Qualifications
- High School Diploma/GED or Equivalent, required.
- Registered as a Pharmacy technician in New Jersey through the Board of Pharmacy, preferred.
- The ability to multitask and work in a fast-paced environment is a must.
- Long- Term-Care pharmacy experience strongly preferred
- 1–3 years of experience in pharmacy billing, insurance verification, or healthcare revenue cycle
- Ability to work independently, and as a team, accurately, and efficiently.
- Must be detail oriented, organized and self-sufficient.
- Computer Savy
EEO Statement, SpecialtyRx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation and gender identity or any other status protected by federal, state or local law.
EO/Minorities/Females/Disabled/Veterans
