Pharmacy Billing Specialist
1 week ago
The Pharmacy Solutions Group is seeking a skilled Pharmacy Billing Specialist to join our team. As a key member of our operations team, you will be responsible for ensuring accurate and timely billing for our pharmacy services.
Responsibilities- Claims Processing: Verify and process medical claims for pharmacy services, ensuring accuracy and compliance with regulatory requirements.
- Census Reconciliation: Conduct weekly census reconciliation, including Medicare, to ensure correct patient setup and billing.
- Room Moves and Updates: Monitor and manage room moves, updating Framework accordingly.
- Rebilling: Initiate rebilling process for payer changes and ensure timely completion of primary and secondary rebilling.
- Batch Processing: Work primary billing batches in a timely manner and ensure accurate billing for assigned homes.
- Customer Support: Provide timely responses to family billing questions and assist Accounts Receivable Analyst with customer notes and Medicaid pending group monitoring.
- Third-Party Audits: Participate in third-party audits as requested by supervisor.
- Training and QA: Assist with training and quality assurance initiatives.
- Reporting: Run daily MOP verification reports and monthly composite batches.
- Education: High School Diploma or GED required.
- Experience: Previous medical billing experience required.
- Skills: Framework knowledge and pharmacy experience/background are a plus.
-
Pharmacy Billing Specialist
3 months ago
Cabin Creek, United States Pharmacy Solutions Group Full timePharmacy Solutions Group - West Virginia - The West Virginia Pharmacy Solutions Group is currently recruiting Pharmacy Billing Specialists to join our team.BenefitsOur employees enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality...
-
Pharmacy Data Entry Technician, Night
3 months ago
Cabin Creek, United States Pharmacy Solutions Group - West Virginia Full timePharmacy Data Entry Technician, Night ShiftUnder general supervision of a Data Entry Supervisor, and in accordance with local, state, federal and company laws and regulations ensure delivery of excellent customer service through fast, professional and accurate communication.BenefitsOur employees enjoy competitive wages and PTO plans. We offer full time...
-
Pharmacy Data Entry Technician, Midshift
2 months ago
Cabin Creek, United States CommuniCare Family of Companies Full timePharmacy Data Entry Technician - Midshift The West Virginia Pharmacy Solutions Group is currently recruiting Pharmacy Data Entry Technicians- Mid Shift. **This shift runs from 3pm to 3am and works 7 days on and 7 days off.** Benefits Our employees enjoy competitive wages and PTO plans. We offer full time employees a menu of benefit options from life and...
-
Pharmacy Data Entry Technician
2 months ago
Cabin Creek, United States CommuniCare Family of Companies Full timePharmacy Data Entry Technician Under general supervision of a Data Entry Supervisor, and in accordance with local, state, federal and company laws and regulations ensure delivery of excellent customer service through fast, professional and accurate communication. Benefits Our employees enjoy competitive wages and PTO plans. We offer full time employees a...
-
Pharmacy Data Entry Technician, Night
3 months ago
Cabin Creek, United States CommuniCare Family of Companies Full timePharmacy Data Entry Technician, Night Shift Under general supervision of a Data Entry Supervisor, and in accordance with local, state, federal and company laws and regulations ensure delivery of excellent customer service through fast, professional and accurate communication. Benefits Our employees enjoy competitive wages and PTO plans. We offer full time...
-
Clinical Pharmacy Specialist
2 weeks ago
Battle Creek, Michigan, United States Select Specialty Hospital - Battle Creek Full timePosition Overview: As a Clinical Pharmacy Specialist at Select Specialty Hospital, you will play a crucial role in delivering pharmaceutical care to patients recovering from critical illnesses. Location: Battle Creek, MichiganEmployment Type: PRN/Per Diem/As NeededKey Responsibilities: - Ensure comprehensive knowledge of pharmaceutical services, including...
-
Pharmacy Relations Specialist
2 weeks ago
Battle Creek, Michigan, United States ShieldsRx Full timeAt ShieldsRx, we take pride in fostering a culture of inclusivity and compassion, making a significant impact on patients' lives every day. We are honored to be recognized as a 'Great Place to Work' for multiple consecutive years. Our commitment to excellence has earned us accolades as one of the US Fortune Best Workplaces in Health Care, as well as...
-
Billing & Collections Specialist
1 week ago
johns creek, United States Summit Counseling Center - Atlanta Full timeJob Scope:Job has recurring work situations involving high degrees of discretion.The need for accuracy and effective utilization of available resources is high.Errors in judgment could cause disruptions to the Center’s mission and adversely impact attainment of the Center’s goals.Incumbent operates under the supervision of the Finance Manager.General...
-
Billing & Collections Specialist
4 weeks ago
Johns Creek, United States Summit Counseling Center - Atlanta Full timeJob Scope:Job has recurring work situations involving high degrees of discretion.The need for accuracy and effective utilization of available resources is high.Errors in judgment could cause disruptions to the Center’s mission and adversely impact attainment of the Center’s goals.Incumbent operates under the supervision of the Finance Manager.General...
-
Billing & Collections Specialist
1 week ago
johns creek, United States Summit Counseling Center - Atlanta Full timeJob Scope:Job has recurring work situations involving high degrees of discretion.The need for accuracy and effective utilization of available resources is high.Errors in judgment could cause disruptions to the Center’s mission and adversely impact attainment of the Center’s goals.Incumbent operates under the supervision of the Finance Manager.General...
-
Associate Pharmacy Care Technician
4 weeks ago
Pipe Creek, Texas, United States Optum Full time$1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a...
-
Pharmacy Care Associate Technician
1 week ago
Pipe Creek, Texas, United States Optum Full timeSign-On Bonus: $1,000 for External ApplicantsCompany Overview:Optum is a leading global organization dedicated to enhancing healthcare through innovative technology. Our mission is to support millions in achieving healthier lives. The contributions you make will directly influence health outcomes by connecting individuals with essential care, pharmacy...
-
Medical Office Billing and Coding Specialist
3 months ago
Walnut Creek, United States Douglas H.C.L. Chin, M.D at East Bay Plastic Surgery Full timeJob DescriptionJob DescriptionJob SummaryWe are a small Medical Practice. We are looking for a Medical Office Manager and Billing Specialist to help update our office procedures and keep the clinic running smoothly, and work with Medical Blling and Coding. We are a small office so you will be helping with many different aspects to help run smoothly.In this...
-
Medical Office Billing and Coding Specialist
3 months ago
Walnut Creek, United States Douglas H.C.L. Chin, M.D at East Bay Plastic Surgery Full timeJob DescriptionJob DescriptionJob SummaryWe are a small Medical Practice. We are looking for a Medical Office Manager and Billing Specialist to help update our office procedures and keep the clinic running smoothly, and work with Medical Blling and Coding. We are a small office so you will be helping with many different aspects to help run smoothly.In this...
-
Medical Billing Reimbursement Specialist
3 months ago
Walnut Creek, United States BASS MEDICAL GROUP Full timeJob DescriptionJob DescriptionDescription:Join our exciting Billing Team! If you are looking for some challenges, career growth, step up in your billing knowledge this is the right opportunity for you!We are looking for detailed, energetic, focused medical billers who are high achievers and take their career seriously.Job Opening Opportunities:Charge...
-
Billing and Claims Analyst
2 weeks ago
Battle Creek, Michigan, United States Grace Health Full timePosition Overview: Grace Health is seeking a dedicated professional with expertise in charge entries, billing, and medical coding. We provide competitive compensation based on experience along with generous paid time off policies. This role is designed for individuals who prefer a traditional work schedule without night or weekend shifts.Benefits:...
-
Associate Pharmacy Care Technician
4 weeks ago
Pipe Creek, United States Optum Full time$1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a...
-
Claims Specialist
3 days ago
Battle Creek, Michigan, United States Grace Health Full timeAbout the RoleWe are seeking a highly skilled and detail-oriented Claims Specialist to join our team at Grace Health. As a Claims Specialist, you will play a critical role in ensuring the accuracy and efficiency of our medical billing and claims processing operations.Key ResponsibilitiesCharge Entry and Claims Processing: Enter charges into our Practice...
-
(USA) Pharmacy Manager
1 month ago
Goose Creek, United States Walmart Full timeMinimum Qualifications... Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications. Bachelor's Degree in Pharmacy or PharmD degree, or equivalent FPGE (NABP). Pharmacy license (by job entry date). Completion of an ACPE Accredited Immunization training program (for example, APhA,...
-
Walnut Creek, California, United States John Muir Health Full timeJob Summary:As a highly skilled Pharmacist with expertise in Infusion Pharmacy and Oncology, you will play a critical role in ensuring the effective use of medications and providing exceptional patient care at John Muir Health. This is a Full Time opportunity with a variable schedule, requiring flexibility to work a range of hours, including days, weekends,...