Pharmacy Billing Specialist

2 weeks ago


Sioux Falls, South Dakota, United States Southern Home Care Services, Inc. Full time
Pharmacy Billing Technician Job Description

At PharMerica, we are seeking a highly skilled Pharmacy Billing Technician to join our team. As a Pharmacy Billing Technician, you will play a critical role in ensuring the accuracy and efficiency of our billing processes.

Responsibilities:
  • Maintain current knowledge in pharmacy billing requirements related to facility (Medicare A & Managed Care), commercial third party and Medicare Part D.
  • Demonstrate a clear understanding and commitment to the customer first vision and communicates the philosophy and mission both within the organization to associates in their department and when externally representing the organization.
  • Provide management oversight and direction for facility billing for multiple customers or customer chain. Duties include staff development and accountability, billing quality, Prior Authorization, Claim Overrides and customer service.
  • Validate Admissions payer information if missing from New Admissions.
  • Participates in Quarterly Business Reviews in conjunction with Account Management.
  • Work in conjunction with Account Management to communicate billing, Prior Authorization and Payer information with the customer, group or chain.
  • Review monthly interim billing for the customer, group or chain of accounts.
  • Performs other tasks as assigned.
Requirements:
  • High School diploma or equivalent.
  • Two years of Billing and Customer Service experience.
  • Licenses/Certifications: As required by government regulations and business needs.
  • Detail oriented; goal oriented, team player, oral communication.
What 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.

We are an Equal Opportunity Employer and do not discriminate against any person on the basis of gender, race, color, national origin, religion, disability, age, veteran status, gender identity or sexual orientation in admission, treatment, or participation in our programs, services and activities, or in employment.



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