Sample Pharmacy Billing Adjudicator Resume

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Catherine Norton
3044 Pick Street
Westminster, CO 80030
(111)-743-1234
[email]

Job Objective A talented Pharmacy Billing Adjudicator with great skills and experience looking for a job in a well known organization.

Highlights of Qualifications:

  • Excellent experience in providing assistance in pharmacy billing adjudication processes
  • Sound knowledge of processing medication related orders
  • Profound knowledge of medical terminology and terms
  • Ability to multi task and prioritize work as per requirement
  • Ability to handle customer calls and maintain courtesy
  • Proficient in providing optimal level of customer services

Professional Experience:

Pharmacy Billing Adjudicator
PharMerica, Westminster, CO
August 2012 – Present

Responsibilities:

  • Coordinated with nursing facility staff and submitted payment for submission claims.
  • Administered and if rejected processed real time claims and ensured utilization.
  • Monitored prior authorization process and performed follow up.
  • Maintained backlog for denied claims and prepared resubmission.
  • Ensured compliance to government and HIPPA regulations.
  • Managed customer issues and adjudicated claims for pharmacy billing.

Education

Bachelor’s Degree in Pharmacy
Sisseton Wahpeton College, Village, SD

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