Claims Reconciliation Coordinator

Position Responsibilities

• Reconcile insurance claims and identify billing discrepancies.
• Investigate and resolve claim rejections and payment issues.
• Verify patient insurance eligibility and benefits.
• Complete insurance prior authorizations in a timely manner.
• Communicate with insurance companies, providers, and internal departments to resolve claim issues.
• Maintain accurate documentation and records.
• Ensure compliance with pharmacy and insurance regulations.
• Aid with additional billing and reimbursement tasks as assigned.

Qualifications

• Previous experience with insurance verification and prior authorizations is strongly preferred.
• Experience with pharmacy claims reconciliation or medical billing is preferred.
• Strong organizational skills and attention to detail.
• Excellent communication and problem-solving abilities.
• Ability to work independently while managing multiple priorities.
• Proficient with computer systems and Microsoft Office applications.
• Licensed Pharmacy Technician preferred, but not required.

What We Offer

• Competitive Pay
• Comprehensive Benefits Package
• Monday–Friday Schedule (No Weekends)
• Professional and Supportive Work Environment
• Opportunities for Growth and Advancement