Medicare D Billing Representative

4 weeks ago

Arlington, United States Res-Care, Inc. Full time

Our Company

PharMerica

Overview

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

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

Responsibilities

* Acts as a resource to the facilities in obtaining information, completing necessary documentation, and following up on outstanding claims.
* Understands Insurance and Medicaid formularies and processes, including the prior authorization processes.
* Makes outgoing calls to Facilities, Plans, and Physician's offices as needed to obtain approvals
* Works with Client Billing Service Offices, Pharmacy Directors, customers and prescription drug plans to effectively communicate and resolve customer issues.
* Provides clinical support to members of the RxAllow team regarding prior authorization concerns
* Achieves productivity goals with regard to calls/claims per hour, as determined by the Director and Clinical Hub Manager.
* Prioritizes work to meet daily and competing deadlines.
* Develops a strong understanding of the insurance verification, adjudication, back-end billing process and become a subject matter expert on the insurance queues and billing workflow.
* Maintains a clean and organized work area.
* Performs other tasks as assigned.

Qualifications

Education/Learning Experience:

* Required: HS Diploma or equivalent experience.
* Desired: Associate degree/ Bachelor's Degree.

Work Experience:

* Required: Third Party Medical Billing Experience.
* Desired: 1-3 years pharmacy experience; 3 years call center experience.

Skills/Knowledge:

* Required: Familiar with the claim adjudication process. Proficiency in Microsoft Office.
* Desired: Understanding of the insurance verification, adjudication, back-end billing process and become a subject matter expert on the insurance queues and billing workflow.

Licenses/Certifications:

* Required: Certified Pharmacy Technician.

Behavior Competencies:

* Required: Interpersonal Skills, Oral Communication, Written Communication, Teamwork, Ethics, Organizational Support, Judgment, Planning/Organizing, Professionalism, Adaptability, Initiative.

About our Line of Business

PharMerica is a full-service pharmacy solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute care organizations. PharMerica is one of the nation's largest pharmacy companies. PharMerica offers unmatched employee development, exceptional company culture, seemingly endless opportunities for advancement and the highest hiring goals in decades. For more information about PharMerica, please visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.

  • medicare d billing representative

    2 weeks ago

    Arlington, Texas, United States BrightSpring Health Services Full time

    PharMericaJoin 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 ...

  • Medicare D Billing Representative

    4 weeks ago

    Arlington, United States Res-Care, Inc. Full time

    Our Company PharMerica Overview 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...

  • Medicare D Billing Representative

    2 weeks ago

    Arlington, Texas, United States Res-Care, Inc. Full time

    Our CompanyPharMericaOverviewJoin 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...

  • medicare d billing representative

    2 weeks ago

    Arlington, Texas, United States BrightSpring Health Services Full time

    PharMericaJoin 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 ...

  • Medicare Billing Specialist

    3 days ago

    Arlington, United States Sunrise Senior Living Full time

    **Medicare Billing Specialist** **Arlington, VA** - Sunrise Senior Living was again certified as a Great Place to Work by Activated Insights. This is the 6th time Sunrise has received this top culture and workplace designation, highlighting the special place Sunrise is to be a part of._ **COMMUNITY NAME** The Jefferson - Health Care Center Job ID:...

  • Medical Billing Specialist

    3 weeks ago

    Arlington Heights, United States The LaSalle Group Full time

    Are you searching for a chance to expand your understanding of medical billing and the opportunity to grow your career within healthcare? If so, our client (located in the Chicagoland area) is looking for a Medical Billing Specialist that has experience working with hospital insurance claims and with government and managed care insurance providers. You will...

  • Medicare Advantage Field Sales Rep

    3 weeks ago

    Arlington, United States Johns Hopkins Health Plans Full time

    **_Who you are:_** As a Field Sales Representative for Medicare Advantage, you are passionate about the health and well-being of our members and prospective members. You are an empathetic, people person that is able to naturally build and maintain relationships to increase enrollment and provide an optimal member experience along the way. Your keen...

  • Medical Billing Specialist

    3 weeks ago

    Arlington Heights, United States The LaSalle Group Full time

    Are you searching for a chance to expand your understanding of medical billing and the opportunity to grow your career within healthcare? If so, our client (located in the Chicagoland area) is looking for a Medical Billing Specialist that has experience working with hospital insurance claims and with government and managed care insurance providers. You will...

  • Customer Service Billing Representative

    2 weeks ago

    Arlington, United States Workforce Solutions for Tarrant Co. Full time

    Rosa Medical Equipment Customer Service/Billing Representative Qualifications: Previous experience in customer service required and experience in the Healthcare industry. 18 months+ related experience preferred. HS Diploma or equivalent experience Familiar with claim adjudication process Proficient in Microsoft Office Good organizational skills and...

  • Customer Service Billing Representative

    3 weeks ago

    Arlington, United States Workforce Solutions for Tarrant Co. Full time

    Rosa Medical Equipment Customer Service/Billing Representative Qualifications: Previous experience in customer service required and experience in the Healthcare industry. 18 months+ related experience preferred. HS Diploma or equivalent experience Familiar with claim adjudication process Proficient in Microsoft Office Good organizational skills and...

  • Medicare Advantage Field Sales Rep

    4 weeks ago

    Arlington, Virginia, United States Johns Hopkins Medicine Full time

    Who you are:As a Field Sales Representative for Medicare Advantage, you are passionate about the health and well-being of our members and prospective members. You are an empathetic, people person that is able to naturally build and maintain relationships to increase enrollment and provide an optimal member experience along the way. Your keen attention to...

  • Medicare Advantage Field Sales Rep

    4 weeks ago

    Arlington, United States Johns Hopkins HealthCare Full time

    Who you are: As a Field Sales Representative for Medicare Advantage, you are passionate about the health and well-being of our members and prospective members. You are an empathetic, people person that is able to naturally build and maintain relationships to increase enrollment and provide an optimal member experience along the way. Your keen attention to...

  • Medicare Advantage Field Sales Rep

    4 weeks ago

    Arlington, United States Johns Hopkins Medicine Full time

    Who you are: As a Field Sales Representative for Medicare Advantage, you are passionate about the health and well-being of our members and prospective members. You are an empathetic, people person that is able to naturally build and maintain relationships to increase enrollment and provide an optimal member experience along the way. Your keen attention to...

  • Biller - Medicare FT Remote

    6 days ago

    Arlington, United States USMD Hospital At Arlington LP Full time

    Job DescriptionJob DescriptionJob Purpose: The Billing & Collections Representative ensures the billing and claims processing life cycle remain in compliance with all pertinent coding, documentation and privacy guidelines. Responsible for timely billing and collections for assigned clinic, from weekly claims filing to collecting insurance payments and any...

  • Reimbursement and Billing Director

    4 weeks ago

    Arlington, United States Kerecis LLC Full time

    Job Description Job Description Description: The Reimbursement and Billing Director oversees Benefits Investigation (BI) and Field Reimbursement and is responsible for the strategic development of building a highly functional reimbursement team that improves our value proposition for our customers. This includes collecting and implementing improvement...

  • Reimbursement and Billing Director

    2 months ago

    Arlington, United States Kerecis LLC Full time

    Job DescriptionJob DescriptionDescription:The Reimbursement and Billing Director oversees Benefits Investigation (BI) and Field Reimbursement and is responsible for the strategic development of building a highly functional reimbursement team that improves our value proposition for our customers. This includes collecting and implementing improvement...

  • Billing Accountant

    4 weeks ago

    Arlington, United States Cambridge International Systems Inc Full time

    When you join the Cambridge team, you are part of a skilled and talented global community that is united by a set of core values: commitment, integrity, and perseverance. Join our team and help us confront today’s most threatening and complex obstacles! Cambridge International Systems, Inc. has a full-time Billing Accountant opportunity available based in...

  • Billing Accountant

    4 days ago

    Arlington, United States Cambridge International Systems Inc Full time

    When you join the Cambridge team, you are part of a skilled and talented global community that is united by a set of core values: commitment, integrity, and perseverance. Join our team and help us confront today’s most threatening and complex obstacles! Cambridge International Systems, Inc. has a full-time Billing Accountant opportunity available based in...

  • Billing Associate

    4 weeks ago

    Arlington, United States American Institutes For Research Full time

    Overview Work for a first-class institution that is innovative, multi-dimensional, and dynamic by joining AIR as a Billing Associate. We hire talented and forward-thinking professionals to build our cross-functional teams and support our clients in solving complex problems. Our people-problem-solvers, changemakers, and creative thinkers-are experts in...

  • Billing Associate

    2 weeks ago

    Arlington, Virginia, United States American Institutes For Research Full time

    OverviewWork for a first-class institution that is innovative, multi-dimensional, and dynamic by joining AIR as a Billing Associate.We hire talented and forward-thinking professionals to build our cross-functional teams and support our clients in solving complex problems. Our people-problem-solvers, changemakers, and creative thinkers-are experts in their...