Pharmacy Billing Specialist

3 days 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


  • Pharmacy Technician

    3 weeks ago


    West Chester, United States CSI Pharmacy Full time

    Job Title Pharmacy Technician (PDP Insurance) Location West Chester, OH, USA Additional Location(s) Employee Type Employee Working Hours Per Week 40 Job Description CSI 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...


  • West Warwick, United States Accurate Billing Solutions LLC Full time

    Medical billing specialist needed for busy medical billing company. We are as multi-speciality billing company. Job duties are: entering patient demographics, entering charges, posting insurance and patient payments. Follow up of insurance claims and working denials through clearinghouse and account receivable reports. Calling insurance companys for...

  • Pharmacy Technician

    3 weeks ago


    West Chester, United States CSI Pharmacy Full time

    CSI 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 our West Chester, OH office.The PDP Insurance Billing Specialist...

  • Pharmacy Technician

    3 weeks ago


    West Chester, United States CSI Pharmacy Full time

    Job DescriptionCSI 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 our West Chester, OH office.The PDP Insurance...

  • Pharmacy Technician

    3 weeks ago


    West Chester, OH, United States CSI Pharmacy Full time

    CSI 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 our West Chester, OH office.The PDP Insurance Billing Specialist...

  • Pharmacy Clerk

    2 months ago


    West Hollywood, United States MASTERS COMPOUNDING PHARMACY INC Full time

    Job DescriptionJob DescriptionRetail pharmacy located in West Hollywood near Beverly Hills is seeking a Pharmacy Frontend Clerk to become a part of our team! You will assist in various retail and office related duties.Responsibilities include but not limited to:Process prescriptions using computer software (PioneerRx)Handle inbound and outbound telephone...


  • West Hollywood, United States National Pharmacy Full time

    **Compounding Pharmacy in West Hollywood looking to hire an experienced compounding Pharmacy Technician.** **Responsibilities**: - Supports pharmacological services by stocking, assembling, and distributing medications. - Helps health care providers and patients by greeting them in person and by phone, answering questions and requests, and referring...

  • Pharmacy Technician

    1 week ago


    West Hills, United States Oak Hills Medical Pharmacy Full time

    **About us** Oak Hills Medical Pharmacy is a small business in West Hills, CA. We are professional, agile and our goal is to combine personalized care with unmatched service. We strive to serve our local community as best we can by providing a vast range of pharmaceutical services.. Our work environment includes: - Modern office setting Oak Hills Medical...


  • West Bloomfield, United States Henry Ford Hospital Full time

    GENERAL SUMMARY: This Employee will work with both outpatient pharmacy and inpatient Eligible for Sign-on bonus of 2,500 The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and...


  • West Bloomfield, United States Henry Ford Hospital Full time

    GENERAL SUMMARY: This Employee will work with both outpatient pharmacy and inpatient Eligible for Sign-on bonus of 2,500 The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and...

  • Billing Specialist

    1 week ago


    West Valley City, United States CR England Full time

    As the Billing Specialist you will be responsible for processing over 150 transactions on a daily basis while maintaining accuracy and attention to detail. Our ideal candidate will be able to thrive in a fast paced environment and possess an analytic Billing Specialist, Billing, Specialist, Processing, Microsoft, Customer Service, Accounting, Transportation

  • Pharmacy Technician

    1 month ago


    West Chester, United States Comprehensive Pharmacy Services, LLC Full time

    Pharmacy Technician - Per Diem Beckett Springs West Chester, Ohio As a per diem non-exempt CPS Solutions, LLC Pharmacy Technician, you will assist in various pharmacy activities under the supervision of a licensed pharmacist. Your responsibilities will include preparing, delivering, and restocking medications; performing order entry; procuring drugs;...

  • Pharmacy Technician

    4 weeks ago


    West Chester, United States Comprehensive Pharmacy Services, LLC Full time

    Pharmacy Technician - Per Diem Beckett Springs West Chester, Ohio As a per diem non-exempt CPS Solutions, LLC Pharmacy Technician, you will assist in various pharmacy activities under the supervision of a licensed pharmacist. Your responsibilities will include preparing, delivering, and restocking medications; performing order entry; procuring drugs;...

  • Billing Specialist

    1 month ago


    West Palm Beach, United States Akerman Full time

    Akerman LLP, a top 100 U.S. law firm serving clients across the Americas, is seeking a Billing Specialist to join the firm's Financial Services Department. Akerman has adopted a hybrid workplace environment, and this position can be based in any of our U.S. offices. The Billing Specialist will coordinate and administer all facets of client account analysis...

  • Billing Specialist

    2 weeks ago


    West Palm Beach, United States Akerman Full time

    Akerman LLP, a top 100 U.S. law firm serving clients across the Americas, is seeking a Billing Specialist to join the firm's Financial Services Department. Akerman has adopted a hybrid workplace environment, and this position can be based in any of our U.S. offices. The Billing Specialist will coordinate and administer all facets of client account analysis...

  • Billing Specialist

    4 weeks ago


    West Caldwell, United States TGI Office Automation Full time

    **Job Title: Billing Specialist** **Department**: Meters and Billing **The TGI Story** A second-generation family-owned business for over 50 years, TGI Office Automation is a comprehensive office technology provider offering scalable solutions for many of today’s complex business issues. TGI offers unparalleled, innovative technology from a variety of...

  • Billing Specialist

    21 hours ago


    West Caldwell, United States TGI Office Automation Full time

    **Job Title: Billing Specialist** **Department**: Meters and Billing **The TGI Story** A second-generation family-owned business for over 50 years, TGI Office Automation is a comprehensive office technology provider offering scalable solutions for many of today’s complex business issues. TGI offers unparalleled, innovative technology from a variety of...


  • West Bloomfield, United States Henry Ford Health System Full time

    GENERAL SUMMARY: **This Employee will work with both outpatient pharmacy and inpatient** **Eligible for Sign-on bonus of 2,500** The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other...


  • West Bloomfield, United States Henry Ford Health System Full time

    GENERAL SUMMARY: **This Employee will work with both outpatient pharmacy and inpatient** **Eligible for Sign-on bonus of 2,500** The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other...

  • Billing Specialist

    4 days ago


    West Caldwell, United States TGI Office Automation Full time

    Job Title**:Billing Specialist** Department: Meters and Billing Position: Full-Time (Non-exempt) Hours of Work: Monday - Friday, 8:30 a.m. to 5:00 p.m. with a 60-minute non-paid Lunch Break Location: West Caldwell, New Jersey **The TGI Story** A second-generation family-owned business for over 50 years, TGI Office Automation is a comprehensive office...