
Insurance Research Team
Ridgefield Park, NJFull-time$19–22/hrPosted 3mo agoSeen in employer's feed 4 days ago
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Job overview
Specialty Rx, Inc. is hiring an Insurance Research Team. SpecialtyRx is seeking an Insurance Research Team member in Ridgefield Park, NJ. This role ensures accurate insurance information, resolves claim rejections, and maintains compliance with payer requirements. The position focuses on researching, verifying, and updating patient insurance coverage to optimize reimbursement and minimize billing delays.
Key focus areas include Verify patient insurance coverage (Medicare, Medicaid, Managed Care, Commercial plans), Confirm eligibility, coverage limitations, and coordination of benefits (COB), and Update and maintain accurate insurance information in pharmacy systems.
Successful candidates bring High School Diploma and 1+ Years Pharmacy Billing Experience. Important skills include Insurance Verification, Claim Rejection Resolution, Payer Compliance, Insurance Coverage Research, Patient Insurance Information Updating, and Claim Rejection Analysis.
Skills & qualifications
Skills
Qualifications
Full job description
Insurance Research Team
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Location 2 Bergen Turnpike, Ridgefield Park, NJ, 07660, United States
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Base Pay $19.00 - $22.00 / Hour
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Job Category #billing, #research, #insurance
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Industry #pharmacy , #hospital , #retail
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Employee Type Full Time
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Required Degree High school
Contact information
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Name Yoamna M.
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Phone 908.241.6337 X 4017
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Email [email protected]
Description
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
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Verify patient insurance coverage (Medicare, Medicaid, Managed Care, Commercial plans)
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Confirm eligibility, coverage limitations, and coordination of benefits (COB)
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Update and maintain accurate insurance information in pharmacy systems
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Investigate and resolve rejected or denied claims in a timely manner
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Analyze rejection codes and determine appropriate corrective actions
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Work closely with billing and adjudication teams to rebill claims correctly
Qualifications
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High School Diploma/GED or Equivalent, required.
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Registered as a Pharmacy technician in New Jersey through the Board of Pharmacy, preferred.
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The ability to multitask and work in a fast-paced environment is a must.
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Long- Term-Care pharmacy experience strongly preferred
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1–3 years of experience in pharmacy billing, insurance verification, or healthcare revenue cycle
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Ability to work independently, and as a team, accurately, and efficiently.
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Must be detail oriented, organized and self-sufficient.
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Computer Savy
Please apply here https://secure3.saashr.com/ta/s6337.careers?CareersSearch
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
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