Pharmacy Billing Associate
2 weeks ago
*Pittsburgh, Pa*
*Monday-Friday - Mostly Daylight - Rotating evening and weekends*
This Billing Associate works internally with the Billing and Accounting Team, Pharmacist and Order Entry Team, Production Team. The Billing Associate works externally with Customers, and Third Party Insurance Personnel.
Responsibilities
* Data entry and review of patient demographics into pharmacy software program.
* Correspond with facility and family representatives to gather demographic information for the purpose of validating appropriate charges to facility and/or private pay accounts.
* Perform daily tasks as assigned.
* Adhere to Grane Rx billing and denial management processes and procedures.
* Review and process Medicaid pending claims.
* Maintain Low Income Subsidy (LIS) reports.
* Perform daily census reconciliation procedures to ensure census data is correct in pharmacy software program.
* Perform mid-month and end of month census reconciliation procedures to ensure that census data is correct in pharmacy software program.
* Perform hospice reconciliation procedures to ensure hospice data is correct in pharmacy software program.
* Process rebills as necessary.
* Produce month end and interim reports.
* Review of facility pre-bills to ensure accuracy.
* Review of facility invoices and rebill claims as necessary.
* Assist with prior authorization and non-formulary worksheets and process.
* Perform collection calls as needed.
* Triage of documents coming in from customers into pharmacy software programs.
* Ability to handle outbound and inbound phone calls from customers.
* Assists Manager with the preparation for Third Party Payors (PDPs) audits.
* Duties as assigned.
Qualifications
* Bachelor degree is preferred; High School diploma required.
* 1-5 years of LTC billing experience and experience.
Over 30 years, Grane Rx has been an industry leader, revolutionizing long-term care pharmacy solutions and services. The company focuses on caring for thousands of assisted living and nursing home residents along with onsite clinical consulting and training. Long Term Care and PACE pharmacy solutions from Grane Rx are currently available in four states.
EOE
GRX01
Job Type: Full-time
Pay: From $20.00 per hour
Expected hours: 40 per week
Benefits:
* 401(k)
* Dental insurance
* Employee assistance program
* Flexible spending account
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Schedule:
* 8 hour shift
* Day shift
* Monday to Friday
* Weekends as needed
Work setting:
* Office
Experience:
* Medical Billers & Coders: 1 year (Required)
Ability to Relocate:
* Pittsburgh, PA 15238: Relocate before starting work (Required)
Work Location: In person
-
Pharmacy Billing Associate
4 weeks ago
Pittsburgh, United States Practical Administrative Solutions L.P Full timeFull-Time - RIDC PARK, Pittsburgh, PA Monday-Friday with Rotating Weekends and Evenings This Billing Associate works internally with the Billing and Accounting Team, Pharmacist and Order Entry Team, Production Team. The Billing Associate works externally with Customers, and Third Party Insurance Personnel.Data entry and review of patient demographics...
-
Pharmacy Technician
5 days ago
Pittsburgh, United States Kevin's Pharmacy Full timeJob DescriptionJob DescriptionWe are a community based independent pharmacy located in Castle Shannon since 2006. Our goal is to provide exceptional pharmaceutical service coupled with personalized care, all why providing a service quickly and efficiently. We set ourselves apart from other pharmacies primarily with the level of service we offer in addition...
-
PDP Insurance Billing Specialist
3 days ago
Dallas, TX, United States CSI Pharmacy Full timeCSI Pharmacy is hiring a PDP Insurance Billing Specialist to join our dynamic team. CSI Pharmacy is a nationwide specialty pharmacy, founded by pharmacists and dedicated to providing services for patients with chronic and rare illnesses that require complex care. This role will be based out of the Dallas, TX area.The PDP Insurance Billing Specialist will be...
-
Billing Operations Specialist
6 days ago
Pittsburgh, United States Pantherx Specialty LLC Full timeJob DescriptionJob Description7,000 Diseases - 500 Treatments - 1 Rare PharmacyPANTHERx is the nation’s largest rare disease pharmacy, and we put the patient experience at the top of everything that we do. If you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don’t need to look beyond PANTHERx. In...
-
Billing Operations Specialist
2 weeks ago
Pittsburgh, United States Pantherx Specialty LLC Full timeJob DescriptionJob Description7,000 Diseases - 500 Treatments - 1 Rare PharmacyPANTHERx is the nation’s largest rare disease pharmacy, and we put the patient experience at the top of everything that we do. If you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don’t need to look beyond PANTHERx. In...
-
Pharmacy Intern, Forbes Pharmacy
4 weeks ago
Pittsburgh, United States UPMC Full timeUPMC Forbes Pharmacy is looking for a Pharmacy Intern to join their dedicated team! Under the general direction of the Pharmacy Manager and Director, and general supervision of the Staff Pharmacist, the Pharmacy intern will perform a wide variety of functions to support the provision of pharmaceutical care to patients at UPMC. These services will be...
-
Pharmacy Intern, Forbes Pharmacy
4 weeks ago
Pittsburgh, United States University of Pittsburgh Medical Center Full timeUPMC Forbes Pharmacy is looking for a Pharmacy Intern to join their dedicated team! Under the general direction of the Pharmacy Manager and Director, and general supervision of the Staff Pharmacist, the Pharmacy intern will perform a wide variety of functions to support the provision of pharmaceutical care to patients at UPMC. These services will be...
-
Supervisor, Billing Operations
6 days ago
Pittsburgh, United States Pantherx Specialty LLC Full timeJob DescriptionJob Description7,000 Diseases - 500 Treatments - 1 Rare PharmacyPANTHERx is the nation’s largest rare disease pharmacy, and we put the patient experience at the top of everything that we do. If you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don’t need to look beyond PANTHERx. In...
-
Supervisor, Billing Operations
6 days ago
Pittsburgh, United States Pantherx Specialty LLC Full timeJob DescriptionJob Description7,000 Diseases - 500 Treatments - 1 Rare PharmacyPANTHERx is the nation’s largest rare disease pharmacy, and we put the patient experience at the top of everything that we do. If you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don’t need to look beyond PANTHERx. In...
-
Pharmacy Intern
4 weeks ago
Pittsburgh, United States University of Pittsburgh Medical Center Full timeChildren's Hospital of Pittsburgh is hiring a Pharmacy Intern to work in the inpatient pharmacy at the main hospital in Lawrenceville. This is a casual position with weekday hours of 5pm-9pm and every third Saturday and Sunday. The Pharmacy Intern will, under the general direction of the Pharmacy Manager and Director, and general supervision of the Staff...
-
Pharmacy Intern
4 weeks ago
Pittsburgh, United States UPMC Full time**Children's Hospital of Pittsburgh is hiring a Pharmacy Intern to work in the inpatient pharmacy at the main hospital in Lawrenceville. This is a casual position with weekday hours of 5pm-9pm and every third Saturday and Sunday.** The Pharmacy Intern will, under the general direction of the Pharmacy Manager and Director, and general supervision of the...
-
Pharmacy Intern
4 weeks ago
Pittsburgh, United States University of Pittsburgh Medical Center Full timeChildren's Hospital of Pittsburgh is hiring a Pharmacy Intern to work in the inpatient pharmacy at the main hospital location in the Lawrenceville section of Pittsburgh. The Pharmacy Intern will work one weekday evening per week from 5pm-10pm, and every third weekend, an 8-hour shift, both Saturday and Sunday. Interns are responsible for supporting the...
-
Pharmacy Intern
4 weeks ago
Pittsburgh, United States UPMC Full time**Children's Hospital of Pittsburgh is hiring a Pharmacy Intern to work in the inpatient pharmacy at the main hospital location in the Lawrenceville section of Pittsburgh. The Pharmacy Intern will work one weekday evening per week from 5pm-10pm, and every third weekend, an 8-hour shift, both Saturday and Sunday.** Internsare responsible for supporting the...
-
Pharmacy Technician, Associate
3 weeks ago
Pittsburgh, United States UPMC Full timeUPMC Community Pharmacy is looking for a part time Pharmacy Technician, Associate to join their dedicated team at Falk Pharmacy. This position is part of the Outpatient Pharmacy Team in the Falk Medical Building. Falk Pharmacy is part of the UPMC Retail Pharmacy Network. We fill retail prescription orders for patients in the community and visiting for clinic...
-
Pharmacy Technician
3 days ago
West Chester, OH, United States CSI Pharmacy Full timeCompensation starting at $20 per hourCSI Pharmacy is hiring a Pharmacy Technician to join our dynamic team. CSI Pharmacy is a nationwide specialty pharmacy, founded by pharmacists and dedicated to providing services for patients with chronic and rare illnesses that require complex care. This role will be based out of our Cincinnati, OH location.Under a...
-
Billing Specialist
5 days ago
Monroeville, PA, United States US Tech Solutions Full timeJob Title: Billing Specialist Location: Monroeville PA Duration: 6 months contract Responsibilities: Billing Specialist I will be responsible for ensuring the timely submission of pharmacy benefit claims.In order to achieve this, the Billing Specialist will be responsible in communicating with varies different payers and insurance processors to resolve...
-
Pharmacy Technician
3 days ago
NASH, TX, United States CSI Pharmacy Full timeSUMMARYUnder a pharmacist's supervision, performs designated technical and clerical tasks associated with the preparation, labeling and dispensing of medications, including sterile admixtures and prepackaged or unit dose drugs. In addition, performs designated tasks regarding pharmacy quality control, management of pharmacy records, inventory control and...
-
Pharmacy Intern
3 weeks ago
Pittsburgh, United States University of Pittsburgh Medical Center Full timeUPMC Presbyterian Hospital is looking for pharmacy students interested in gaining valuable inpatient experience, to join their team! You will be trained to have a strong foundation in the operations of pharmacy- automation, robot, dispensing, delivery, IV room, narcotic processes, or satellite. In the summer you will have project time and shadow a Unit Base...
-
Pharmacy Intern
3 weeks ago
Pittsburgh, United States UPMC Full time**UPMC Presbyterian Hospital is looking for pharmacy students interested in gaining valuable inpatient experience, to join their team! You will be trained to have a strong foundation in the operations of pharmacy- automation, robot, dispensing, delivery, IV room, narcotic processes, or satellite. In the summer you will have project time and shadow a Unit...
-
Billing Specialist
5 days ago
Monroeville, PA, United States US Tech Solutions Full timeJob Title: Billing Specialist Duration: 6 months contract Billing Specialist I will be responsible for ensuring the timely submission of pharmacy benefit claims. · In order to achieve this, the Billing Specialist will be responsible in communicating with varies different payers and insurance processors to resolve accounts receivable claims for...