Pharmacy Claims Administrator

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. 

As our Pharmacy Claims Administrator, you will help ­­our clients increase their revenue by accessing additional funding for prescription drugs. Every day you will receive, review and update medical records. To thrive in this role, you must have pharmacy knowledge gained through work experience as a pharmacy tech or in the medical field, strong attention to detail and organization skills, and the ability to work independently and remotely.

Here’s what you will experience working as a Pharmacy Claims Administrator:

• Work in proprietary software, matching provider specialty information with clinical information related to prescription drug program

• Assign task statuses based on review to ensure we have proper documentation for compliance Request additional information from physician offices as needed

• Protect patient health information and follow HIPAA guidelines

Required Skills:

• High school diploma, GED, or equivalent

• Computer literacy including the ability to navigate Excel spreadsheets and proprietary software

• Knowledge of prescription drugs and pharmacy terminology gained through work experience as a pharmacy tech or in the medical industry

For this US-based position, the base pay range is $14.11 - $21.88 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

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To learn more, visit: R1RCM.com

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