Claims Reconciliation Coordinator

Red River Pharmacy is seeking a detail-oriented and motivated

Claims Reconciliation Coordinator to join our growing team.

This is a full-time, in-office or potentially hybrid / remote position working Monday through Friday, 8:00 AM – 5:00 PM
.

• 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.
• Assist with additional billing and reimbursement tasks as assigned.

• 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.

• Competitive Pay
• Professional and Supportive Work Environment
• Opportunities for Growth and Advancement