Revenue Cycle Support Specialist
7 days ago
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
The Revenue Cycle Support Specialist will be providing support of multiple Vancouver Billing Center departments and will assist as needed in certain front office activities.
Schedule: Monday - Friday
9:00am to 5:30pm
This is a remote position and applicants can reside anywhere within the Continental USA.
Must be able to effectively work in the Pacific Time Zone.
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
* The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question
Essential Job Responsibilities:
* Ensure accurate and timely completion of client prior authorization and/or change of therapy paperwork by collaborating with prescribers and facility contacts
* Follows up on all claims requiring prior authorization within four to five business days
* Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of Pharmacy on weekly basis
* Compares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed up on
* Assists Billing Department with resolving unbilled claims at each month end close
* Advocates for clients as needed
* Support for Pharmacy Operations
* Adjudicates and resolution of claim rejections as needed
* Utilizes Frameworks, QuickBase, Docutrack, and CoverMyMeds in order to complete workflow on daily basis
* Other responsibilities as assigned
Qualifications
* High School Diploma/General Education Diploma required
* Kentucky Pharmacy Technician License preferred
* Excellent customer service and communication skills, both written and verbal
* Ability to prioritize and meet pre-determined deadlines
* Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills
* Experience in healthcare billing environment (pharmacy preferred)
* Familiarization with on-line claims processing and Medicaid and Medicare billing practices
* Proficient with Microsoft Word & Excel required
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.
Salary Range
USD $19.00 - $21.00 / Hour
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