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Pharmacy Claims Adjudication Specialist at Onco360
Woodridge, Illinois, United States - Full Time
Skills Needed
Pharmacy Claims Adjudication, Medical Billing, Benefits Verification, Ncpdp Claim Resolution, Coordination Of Benefits, Medicare Knowledge, Medicaid Knowledge, Commercial Insurance, Pharmacy Terminology, Analytical Skills, Patient Outreach, Cpr+ System, Customer Service, Time Management, Interpersonal Skills, Verbal And Written Communication
Specialization
Requires a High School Diploma or GED and at least 2 years of experience in a pharmacy or healthcare setting. Candidates must be registered with the Board of Pharmacy as required by state law.
Experience Required
Minimum 2 year(s)
Senior PMO Manager at The Scottish Government
London - England, London - England, United Kingdom - Full Time
Skills Needed
N/A
26-27 East Middle School: Secretary, Principal Middle School- 261 Days at APS External Career Site
Aurora District, Colorado, United States - Full Time
Skills Needed
Administrative Support, Office Management, Communication, Organization, Scheduling, Student Records Management
Specialization
Candidates should possess strong organizational skills and experience in an administrative role. Ability to handle school-specific documentation and maintain a professional office environment is required.
Experience Required
Minimum 2 year(s)
Maintenance at INTERSTATE GROUP LLC
Glen Lyn, Virginia, United States - Full Time
Skills Needed
Welding, Equipment Maintenance, Facility Upkeep, Grinders, Chop Saws, Torches, Hand Tools, Preventative Maintenance, Quality Control, Safety Compliance
Specialization
Candidates should have welding experience and proficiency with various power tools and torches. A valid driver's license and the ability to pass a background check are required.
Técnico/a de Mantenimiento PCI at Veolia Environnement SA
Madrid, Community of Madrid, Spain - Full Time
Skills Needed
Fire Protection Maintenance, Corrective Maintenance, Preventive Maintenance, Honeywell Ebi Platform, Cmms (Gmao), Electrical Installations, Incident Diagnosis, System Installation
Specialization
Requires a minimum of 5 years of experience in similar roles and a Middle or Higher Degree in Electricity or related fields. Training in Metal Industry agreements and risk prevention is desirable.
Experience Required
Minimum 5 year(s)
Business Development Specialist at FinTop Consulting
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Managing Consultant – Strategy & Transformation, Advisors & Consulting Serv at Mastercard
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
Strategy Development, Stakeholder Management, Structured Problem Solving, Numerical Analysis, Client Relationship Management, Business Development, Project Delivery Leadership, Financial Analysis, Microsoft Excel, Microsoft Powerpoint, Microsoft Word, Coaching And Mentorship, Proposal Drafting, Operational Transformation, Business Intelligence, Product Management
Specialization
Requires an undergraduate degree and experience in consulting, corporate strategy, or product management with a proven track record of managing teams and clients. Must possess strong logical thinking, numerical analysis skills, and proficiency in Microsoft Office.
Experience Required
Minimum 5 year(s)
Assistant Facilities Engineer at DayOne
Chon Buri, , Thailand - Full Time
Skills Needed
Mep Systems Management, Hvac, Chillers, Cooling Towers, Pumps And Compressors, Preventative Maintenance, Troubleshooting, Problem Solving, Technical Documentation, Compliance Auditing, Resource Allocation, Vendor Coordination
Specialization
Requires a bachelor's degree in mechanical, electrical, or building services engineering. Candidates should have at least one year of experience in facilities management, though fresh graduates are welcome to apply.
Customer service agent at Net Recruit
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
HR & Admin at Capstone real estate
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Psychotherapist at Canadian Specialist Hospital
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Digital Marketing Specialist at Huzzle
, , Argentina - Full Time
Skills Needed
Seo, Paid Media, Ga4, Google Search Console, Semrush, Google Ads, Meta Business Manager, Wordpress, Account Strategy, Data Analysis, Client Relationship Management, Digital Marketing Strategy, Local Search, Reporting, Communication, Organization
Specialization
Requires over 2 years of agency experience in client-facing account strategy and performance management. Must be proficient in the digital marketing ecosystem, including GA4, SEMrush, and Google Ads, with the ability to work Mountain Time hours.
Experience Required
Minimum 2 year(s)
Junior Graphic Designer at Insightrix
Dubai, Abu Dhabi, United Arab Emirates - Full Time
Skills Needed
N/A
Talent Acquisition Coordinator at T.I.G. Industries Ltd.
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Quality Assurance Executive at Ernest Hunter Green
England, East Suffolk - England, United Kingdom - Full Time
Skills Needed
N/A
Commi Chef at Action Hotel Ras AlKhaimah LLC
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Experience Required
Minimum 2 year(s)
Supply Chain Analyst at Aston Carter
London, London - England, United Kingdom - Full Time
Skills Needed
N/A
Compliance Officer at LinkedIn
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Psychiatrist at Indeed - Qatar
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Host at Dimmi Dimmi
Chicago, Illinois, United States - Full Time
Skills Needed
Guest Greeting, Reservation Management, Payment Processing, Customer Service, Telephone Communication, Multitasking, Conflict Resolution, Basic Computer Skills, Upselling, Table Management
Specialization
Candidates must be at least 18 years old with a high school diploma and 1-2 years of relevant experience. Must possess basic computer skills and the physical ability to stand for long periods and lift up to 25 pounds.
Pharmacy Claims Adjudication Specialist at Onco360
Woodridge, Illinois, United States -
Full Time


Start Date

Immediate

Expiry Date

16 Oct, 26

Salary

0.0

Posted On

18 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Pharmacy Claims Adjudication, Medical Billing, Benefits Verification, NCPDP Claim Resolution, Coordination Of Benefits, Medicare Knowledge, Medicaid Knowledge, Commercial Insurance, Pharmacy Terminology, Analytical Skills, Patient Outreach, CPR+ System, Customer Service, Time Management, Interpersonal Skills, Verbal And Written Communication

Industry

Pharmaceutical Manufacturing

Description
We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Woodridge, IL. This will be a Full-Time position. This position must be located within driving distance to our pharmacy, with a hybrid work style.   Shift times are between 8am and 8pm.   Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.   Starting salary from $24.00 an hour and up Sign-On Bonus: $5,000 for employees starting before August 31, 2026.      We offer a variety of benefits including: * Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition Reimbursement * Company paid benefits – life; and short and long-term disability Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections   Pharmacy Adjudication Specialists at Onco360... * Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests. * Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information.. * Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information. * Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim. * Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays * Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible) * Manages all funding related adjudications and works as a liaison to Onco360 Advocate team. * Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment. * Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable. * Documents and submit requests for Patient Refunds when appropriate. * Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws. * Contributes to team effort by accomplishing related tasks as needed and other duties as assigned. * Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. Pharmacy Adjudication Specialist Qualifications and Responsibilities... * Education/Learning Experience * Required:  High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication * Desired:  Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience * Work Experience * Required:  2+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience * Desired:  3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience * Skills/Knowledge * Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills * Desired:  Knowledge of Foundation Funding, Specialty pharmacy experience * Licenses/Certifications  * Required: Registration with Board of Pharmacy as required by state law * Desired: Certified Pharmacy Technician (PTCB) * Behavior Competencies * Required:   Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills #Company Values: Teamwork, Respect, Integrity, Passion
Responsibilities
The specialist is responsible for adjudicating pharmacy claims, resolving third-party rejections, and ensuring accurate coordination of benefits. They also handle patient outreach regarding medication delays and manage financial responsibilities and copayments prior to shipment.
Pharmacy Claims Adjudication Specialist at Onco360
Woodridge, Illinois, United States - Full Time
Skills Needed
Pharmacy Claims Adjudication, Medical Billing, Benefits Verification, Ncpdp Claim Resolution, Coordination Of Benefits, Medicare Knowledge, Medicaid Knowledge, Commercial Insurance, Pharmacy Terminology, Analytical Skills, Patient Outreach, Cpr+ System, Customer Service, Time Management, Interpersonal Skills, Verbal And Written Communication
Specialization
Requires a High School Diploma or GED and at least 2 years of experience in a pharmacy or healthcare setting. Candidates must be registered with the Board of Pharmacy as required by state law.
Experience Required
Minimum 2 year(s)
Senior PMO Manager at The Scottish Government
London - England, London - England, United Kingdom - Full Time
Skills Needed
N/A
26-27 East Middle School: Secretary, Principal Middle School- 261 Days at APS External Career Site
Aurora District, Colorado, United States - Full Time
Skills Needed
Administrative Support, Office Management, Communication, Organization, Scheduling, Student Records Management
Specialization
Candidates should possess strong organizational skills and experience in an administrative role. Ability to handle school-specific documentation and maintain a professional office environment is required.
Experience Required
Minimum 2 year(s)
Maintenance at INTERSTATE GROUP LLC
Glen Lyn, Virginia, United States - Full Time
Skills Needed
Welding, Equipment Maintenance, Facility Upkeep, Grinders, Chop Saws, Torches, Hand Tools, Preventative Maintenance, Quality Control, Safety Compliance
Specialization
Candidates should have welding experience and proficiency with various power tools and torches. A valid driver's license and the ability to pass a background check are required.
Técnico/a de Mantenimiento PCI at Veolia Environnement SA
Madrid, Community of Madrid, Spain - Full Time
Skills Needed
Fire Protection Maintenance, Corrective Maintenance, Preventive Maintenance, Honeywell Ebi Platform, Cmms (Gmao), Electrical Installations, Incident Diagnosis, System Installation
Specialization
Requires a minimum of 5 years of experience in similar roles and a Middle or Higher Degree in Electricity or related fields. Training in Metal Industry agreements and risk prevention is desirable.
Experience Required
Minimum 5 year(s)
Business Development Specialist at FinTop Consulting
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Managing Consultant – Strategy & Transformation, Advisors & Consulting Serv at Mastercard
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
Strategy Development, Stakeholder Management, Structured Problem Solving, Numerical Analysis, Client Relationship Management, Business Development, Project Delivery Leadership, Financial Analysis, Microsoft Excel, Microsoft Powerpoint, Microsoft Word, Coaching And Mentorship, Proposal Drafting, Operational Transformation, Business Intelligence, Product Management
Specialization
Requires an undergraduate degree and experience in consulting, corporate strategy, or product management with a proven track record of managing teams and clients. Must possess strong logical thinking, numerical analysis skills, and proficiency in Microsoft Office.
Experience Required
Minimum 5 year(s)
Assistant Facilities Engineer at DayOne
Chon Buri, , Thailand - Full Time
Skills Needed
Mep Systems Management, Hvac, Chillers, Cooling Towers, Pumps And Compressors, Preventative Maintenance, Troubleshooting, Problem Solving, Technical Documentation, Compliance Auditing, Resource Allocation, Vendor Coordination
Specialization
Requires a bachelor's degree in mechanical, electrical, or building services engineering. Candidates should have at least one year of experience in facilities management, though fresh graduates are welcome to apply.
Customer service agent at Net Recruit
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
HR & Admin at Capstone real estate
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Psychotherapist at Canadian Specialist Hospital
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Digital Marketing Specialist at Huzzle
, , Argentina - Full Time
Skills Needed
Seo, Paid Media, Ga4, Google Search Console, Semrush, Google Ads, Meta Business Manager, Wordpress, Account Strategy, Data Analysis, Client Relationship Management, Digital Marketing Strategy, Local Search, Reporting, Communication, Organization
Specialization
Requires over 2 years of agency experience in client-facing account strategy and performance management. Must be proficient in the digital marketing ecosystem, including GA4, SEMrush, and Google Ads, with the ability to work Mountain Time hours.
Experience Required
Minimum 2 year(s)
Junior Graphic Designer at Insightrix
Dubai, Abu Dhabi, United Arab Emirates - Full Time
Skills Needed
N/A
Talent Acquisition Coordinator at T.I.G. Industries Ltd.
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Quality Assurance Executive at Ernest Hunter Green
England, East Suffolk - England, United Kingdom - Full Time
Skills Needed
N/A
Commi Chef at Action Hotel Ras AlKhaimah LLC
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Experience Required
Minimum 2 year(s)
Supply Chain Analyst at Aston Carter
London, London - England, United Kingdom - Full Time
Skills Needed
N/A
Compliance Officer at LinkedIn
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Psychiatrist at Indeed - Qatar
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Host at Dimmi Dimmi
Chicago, Illinois, United States - Full Time
Skills Needed
Guest Greeting, Reservation Management, Payment Processing, Customer Service, Telephone Communication, Multitasking, Conflict Resolution, Basic Computer Skills, Upselling, Table Management
Specialization
Candidates must be at least 18 years old with a high school diploma and 1-2 years of relevant experience. Must possess basic computer skills and the physical ability to stand for long periods and lift up to 25 pounds.

Frequently Asked Questions

You can get a job abroad from India by following a clear, step-by-step process:

  1. Identify your target country and check its visa and job requirements.
  2. Prepare a globally accepted resume and cover letter that highlight your skills.
  3. Apply through trusted job portals or directly on company career pages.
  4. Work only with licensed overseas recruiters approved by the Indian government.
  5. Obtain the correct work visa before relocation.

The best job abroad depends on your skills, education, and career goals. In 2025, roles in Information Technology, Healthcare, Engineering, Finance, and Skilled Trades are among the most in demand worldwide. These fields offer strong growth potential, high salaries, and visa sponsorship options in many countries.

Yes, freshers can get jobs abroad. Countries such as Germany and Japan offer entry-level or training programs for young professionals through vocational training or specified skilled worker routes. The UAE and other Gulf countries also have entry-level positions in hospitality, retail, and customer service. Building global certifications, language skills, and a professional resume increases your chances.

Globally, the most in-demand jobs in 2025 include:

  • IT and Data Roles – Software Engineers, Data Scientists, Cybersecurity Experts
  • Healthcare Roles – Nurses, Medical Technicians, Physiotherapists
  • Engineering Roles – Civil, Mechanical, and Electrical Engineers
  • Finance and Accounting – Auditors, Financial Analysts, Accountants
  • Skilled Trades – Welders, Electricians, HVAC Technicians

These occupations face consistent global talent shortages and are prioritized for visa sponsorship in many countries.

Current overseas job openings for Indian citizens can be found on recognized international job platforms, professional networking sites, and verified recruitment agencies. You can also explore official government resources that list approved overseas employers and recruiters. Always verify the authenticity of job offers and avoid sharing personal or financial information with unverified sources.

Yes, there is a continuous global demand for engineers across multiple sectors. Opportunities exist for civil, mechanical, electrical, and software engineers in countries with growing infrastructure, technology, and energy projects. To qualify, you generally need a recognized engineering degree, relevant work experience, professional certifications, and—where required—language proficiency or licensing from the destination country.
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