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Pharmacy Adjudication Associate
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Full-time
- The primary goal of the Clarest Pharmacy Adjudication Associate is to understand and utilize all processes associated with adjudicated rejected claims, system alerts and other communications.
- The Adjudication Associate is responsible for working with each of our pharmacy locations to provide resolution or added information needed to assure payment before each scheduled pharmacy delivery cutoff.
- This function is directly interfaced with the pharmacy workflow for fulfillment and distribution of medications and as a result, timeliness and accuracy are paramount.
- Adhere to the departmental processes associated with the documentation and review of claims processing.
- Escalate issues pertaining to workflow to Adjudication Leadership.
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