Infirmary Health hires a Pharmacy Claims Specialist to manage pharmacy benefit claims in Daphne, AL. Review incoming claims for accuracy and eligibility using systems like Optum or Change Healthcare. Adjudicate complex prescriptions, resolve denials, and coordinate with pharmacists on prior authorizations. Handle daily volume of 200+ claims while auditing for fraud patterns. Pursue associate degree in health administration or related field. Bring 2+ years in pharmacy claims processing. Master skills in ICD-10 coding, NCPDP standards, and Excel pivot tables. Hold CPC or similar certification preferred. Excel in claims software proficiency and detail orientation.