Pharmacy Billing Specialist

3 weeks ago


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

Job Summary:

We are seeking a highly skilled Pharmacy Billing Technician to join our team at Southern Home Care Services, Inc. The successful candidate will be responsible for maintaining current knowledge in pharmacy billing requirements related to facility, commercial third-party, and Medicare Part D.

Key Responsibilities:

  • Provide management oversight and direction for facility billing for multiple customers or customer chains, including staff development and accountability, billing quality, Prior Authorization, Claim Overrides, and customer service.
  • Validate Admissions payer information if missing from New Admissions.
  • Participate 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.
  • Perform other tasks as assigned.

Requirements:

  • High School diploma or equivalent.
  • Two years of Billing and Customer Service experience.
  • As required by government regulations and business needs.

Benefits:

  • 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.

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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