Pharmacy Billing Specialist

4 weeks ago


Louisville, Kentucky, United States Southern Home Care Services, Inc. Full time
Job Title: Pharmacy Billing Coordinator

About the Role:

We are seeking a highly skilled Pharmacy Billing Coordinator to join our team at Southern Home Care Services, Inc. This is a unique opportunity to work in a dynamic and growing organization, providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide.

Key Responsibilities:

  • Ensure the accuracy and timely adjudication of resident billing and re-billing through Medicare Part B & D, Medicaid, Hospice, and Private Insurance Plans
  • Daily, weekly, and monthly review and resolution of unbilled claims
  • Review monthly billing statements for facilities to ensure billing accuracy
  • Claim research and resolution
  • Partner with facility contacts when there are issues with claim processing in order to achieve adjudication/payment
  • Advocate for clients as needed
  • Communicate with insurance companies as needed
  • Support for Pharmacy Operations
  • Utilize Framework, Docutrack, and Fusion in order to complete workflow on daily basis
  • Provide onsite training for new hires
  • Assist Implementation Coordinator with integration of new facilities/clients as needed
  • Handle core billing responsibilities with newly gained contracted facilities onboarding with Pharmacy Alternatives
  • Maintain and update the Billing Training Manual

Requirements:

  • High School Diploma/GED required
  • Pharmacy Tech 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 online claims processing and Medicaid and Medicare billing practices
  • Proficient with Microsoft Word and Excel required

What We Offer:

  • DailyPay
  • Flexible schedules
  • Competitive pay
  • Health, dental, vision and life insurance benefits
  • Company paid STD and LTD
  • Tuition Assistance
  • Employee Discount Program
  • 401k
  • Paid time off
  • Tuition reimbursement

About Our Company:

Southern Home Care Services, Inc. is a full-service pharmacy solution providing value beyond medication. We are the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute care organizations.

We offer unmatched employee development, exceptional company culture, seemingly endless opportunities for advancement and the highest hiring goals in decades.



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