Pharmacy Data Entry Specialist
12 hours ago
The CommuniCare Family of Companies is seeking a skilled Pharmacy Data Entry Technician to join our team in a mid-shift role.
About the RoleThis is a dynamic opportunity for a detail-oriented individual to work in a fast-paced environment, reviewing and inputting new and readmitted residents' information to ensure safe and cost-effective medication dispensing.
Responsibilities- Review and input new and readmitted residents' information, including pertinent details for medication dispensing.
- Utilize proper phone etiquette to provide facility and resident services.
- Triage patient calls to the appropriate party.
- Function as the primary third-party billing resource for Outpatient pharmacy staff.
- Troubleshoot and resolve billing rejections, rebill claims to the appropriate carrier for commercial, federal, and state insurance plans.
- Submit prior authorization requests, follow up on submitted requests, and submit claims with approvals as needed.
- Contact payers for medication overrides when necessary.
- Assist with prescription audits.
- Establish and maintain good working relationships with billing operations specialists and Accounts Payable/Receivable.
- Assist in the development, implementation, and evaluation of third-party billing policies and procedures.
- Educate pharmacy staff on third-party billing policies and procedures as needed.
Our employees enjoy competitive wages and PTO plans. We offer a menu of benefit options, including life and disability plans, medical, dental, and vision coverage, and 401(k) with employer match. Flexible Spending Accounts are also available.
RequirementsGood organizational skills and an orientation to detail are required. Must possess good general office skills.
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