Pharmacy Billing Specialist

Job Address:

Job Description: Pharmacy Billing Specialist

Reports to: Pharmacy Billing Supervisor

Job Type: Full-Time – Hybrid/Remote – Pharmacies: West Virginia, Ohio, Indiana and Maryland

Position Overview:
Manage and update patient accounts to ensure consistent billing processes for all payers as outlined in the billing manual.

Key Responsibilities

• Follow all billing processes as outline in the billing manual to ensure consistency and prescription integrity for compliance
• Maintain all current patient accounts by verifying, adding or editing current insurance (Medicare Part D, Commercial, Medicaid, Medicare A and Managed Care)
• Works closely with the facility business office managers for Medicare Part D insurance plans and Census clarifications
• Works directly with several hospice plans and third party plans as needed
• Daily reviews of SQL reports setup to ensure a clean facility invoice
• Any other assigned duties that relates to billing
• Follow federal and state regulations
• Adhere to company policies and procedures
• Follow HIPPA guidelines and regulations

Qualifications

• Previous Long-Term Care pharmacy experience a plus (but not required)
• Knowledge of Framework LTC a plus (but not required)

Salary and Benefits:

• Competitive salary commensurate with experience
• Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more