EmpowerMe Wellness · 3 hours ago
Adjudication Technician
St Louis, MO
Full-time
Onsite
Entry Level
1+ years expEmpowerMe Wellness is a tech-enabled, multidisciplinary healthcare organization dedicated to improving the lives of seniors. The Adjudication Technician is responsible for processing prescription claims and ensuring successful adjudication through pharmacy benefit managers and insurance providers, while also troubleshooting rejected claims and verifying patient information.
FitnessHealth CareMedicalPrimary and Urgent CareWellness
Responsibilities
Process and resolve third-party insurance claims and rejections
Verify patient insurance information and ensure accurate claim adjudication
Initiate and follow-up on prior authorizations with prescribers’ offices
Communicate with PBMs, insurers, and healthcare providers to resolve issues
Maintain compliance with HIPAA, billing regulations, and documentation standards
Assist with audits and support general pharmacy operations as needed
Perform other duties as assigned that are consistent with qualifications, professional practices, and ethical standards
Tasks and responsibilities are subject to change at your supervisor’s discretion
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
Qualification
Required
High school diploma or equivalent
Exemplary attention to detail
Strong time management and organizational skills with ability to prioritize tasks as needed
Well-received/respected by coworkers with willingness to maintain positive morale
Excellent verbal and written communication skills
Strong problem-solving and critical thinking abilities
Ability to retain information such as words, numbers, and procedures
Teamwork mindset with strong interpersonal skills
Proficiency in Internet browsers (e.g. Explorer, Chrome, Fire Fox)
Advanced knowledge of Microsoft Office programs: Outlook, Excel, Word and Publisher applications
Preferred
1+ year Pharmacy Tech experience
Pharmacy Technician License
Experience in working with various EMR and medical billing systems
Company
EmpowerMe Wellness
EmpowerMe provides senior living communities with outstanding, integrated on-site therapy, diagnostics, and primary care services.
1001-5000 employees
H1B Sponsorship
EmpowerMe Wellness has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (2)
2023 (2)
2021 (2)
Funding
Current Stage
Late StageTotal Funding
$0.2M2022-07-01Convertible Note· $0.2M
Leadership Team
J
Josh Stevens
Founder, Chief Executive Officer and Chairman
Recent News
2024-05-19
Company data provided by crunchbase