Billing Specialist

PharMerica

The IV Billing Specialist will be an integral member of the Client Billing Center and the billing in Framework LTC for over 100 of PharMerica’s pharmacies across the nation. This role will help with review and provide continued support for the client billing team and Framework systems. 

Join our PharMerica team!  PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients.  We offer a non-retail pharmacy environment.  Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression! 

This is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.

Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.

Shift: Monday-Friday 7:30am-3:30pm

We offer:

DailyPay

Flexible schedules

Competitive pay

Shift differential

Health, dental, vision and life insurance benefits

Company paid STD and LTD

Tuition Assistance

Employee Discount Program

401k

Paid-time off

Tuition reimbursement

Non-retail/Closed-door environment

Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!

• Provides support and training to client billing team and contribute to process improvement in the IV Billing functions and review
• Serves as a liaison between billing team and pharmacies as needed
• Maintains documentation regarding Framework training materials and tools up-to date
• Prepares necessary presentation materials for meetings
  • Take and distribute detailed notes
• Understands and educates others on the importance of company’s data standards and work-flow best practices
• Works with Framework LTC to review transactions for proper billing to facilities for IV Services
• Consults frequently and regularly with the Client Billing Managers to discern best practices and advise on specifics related to IV’s and Framework
• Relays information discovered by yourself, or feedback submitted by team members about software or associated workflows
• Ensures accuracy of billing by reviewing plan sheets and contracts for proper pricing of services working closely with Plan Administration
• Works closely with Third Party Operations IV billing to ensure retro changes are handled promptly

• Bachelor’s Degree in Business, Healthcare, or project management related fields; Bachelor’s Degree in Business, Healthcare, or project management related fields preferred
• Two or more years Long Term Care experience or healthcare software knowledge preferred
• Knowledge of Framework LTC preferred
• Three or more years as a pharmacy technician or working in a Pharmacy
• Ability to teach other concepts in systems or processes
• Proven ability to communicate abstract concepts, with strong emotional intelligence
• Demonstrated track record of excellence working independently and within a team
• Strong attention to detail and organizational skills
• Proficient in Microsoft Office software and easily adaptable to new technology
• Ability to quickly adapt to changing circumstances and priorities
• Previous experience in support role or experience as an IV technician or LTC billing knowledge
• Strong oral and written communication skills, demonstrating tact, diplomacy, and accuracy
• Comfortable with setting clear deadlines and ensuring adherence to timeline

• Provides support and training to client billing team and contribute to process improvement in the IV Billing functions and review
• Serves as a liaison between billing team and pharmacies as needed
• Maintains documentation regarding Framework training materials and tools up-to date
• Prepares necessary presentation materials for meetings
  • Take and distribute detailed notes
• Understands and educates others on the importance of company’s data standards and work-flow best practices
• Works with Framework LTC to review transactions for proper billing to facilities for IV Services
• Consults frequently and regularly with the Client Billing Managers to discern best practices and advise on specifics related to IV’s and Framework
• Relays information discovered by yourself, or feedback submitted by team members about software or associated workflows
• Ensures accuracy of billing by reviewing plan sheets and contracts for proper pricing of services working closely with Plan Administration
• Works closely with Third Party Operations IV billing to ensure retro changes are handled promptly

• Bachelor’s Degree in Business, Healthcare, or project management related fields; Bachelor’s Degree in Business, Healthcare, or project management related fields preferred
• Two or more years Long Term Care experience or healthcare software knowledge preferred
• Knowledge of Framework LTC preferred
• Three or more years as a pharmacy technician or working in a Pharmacy
• Ability to teach other concepts in systems or processes
• Proven ability to communicate abstract concepts, with strong emotional intelligence
• Demonstrated track record of excellence working independently and within a team
• Strong attention to detail and organizational skills
• Proficient in Microsoft Office software and easily adaptable to new technology
• Ability to quickly adapt to changing circumstances and priorities
• Previous experience in support role or experience as an IV technician or LTC billing knowledge
• Strong oral and written communication skills, demonstrating tact, diplomacy, and accuracy
• Comfortable with setting clear deadlines and ensuring adherence to timeline