Pharmacy Billing Specialist
4 weeks ago
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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