Pharmacy Billing Specialist

2 weeks ago


West Norriton, United States Synergy Pharmacy Services Full time

**Job description**

**Pharmacy Billing Specialist**

Schedule: Monday through Friday, 7:30 am to 4:00 pm, in a professional office

**Responsibilities**:

- Adjudicate, move, and work daily prescription rejections timely.
- Batch and submit cycle prescriptions to third party payers, resolve all denials before prescriptions are delivered.
- Process daily censuses including all face sheet demographics, financially responsible payer info and Medicare, Medicaid or Commercial insurance status.
- On a biweekly basis, review prebilling reports to identify any discrepancies and reconcile as needed.
- Handle all aspects of facility and private billing for assigned facilities monthly.
- Work with providers, pharmacy staff, and nursing to notify when prior authorizations are needed and complete prior authorizations in a timely manner.
- Assist with third party audits including researching scripts and reviewing for accuracy.

**Qualifications**:

- Experience in long term care or retail pharmacy environment
- 1 to 3 years of pharmacy billing experience
- Communication, problem solving, and organizational skills necessary.
- Must be able to work in a fast-paced environment and meet deadlines.
- Strong Customer Service skills
- Knowledge of Microsoft Office 365

**Preferred**:

- FrameworkLTC and SAGE 300 experience
- 1 year of pharmacy technician experience and long-term care experience

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- Monday to Friday

Work setting:

- Office

**Education**:

- High school or equivalent (required)

**Experience**:

- Long term care or retail pharmacy: 1 year (preferred)
- Framework LTC and Sage 300: 1 year (preferred)

Ability to Relocate:

- West Norriton, PA: Relocate before starting work (required)

Work Location: In person



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