Pharmacy Billing Associate

7 days ago

Louisville, Kentucky, United States Synchrony Health Services Full time $40,000 - $70,000 per year

JOIN TEAM TRILOGY:

Are you compassionately committed to customer service? If so, we would like to hear from you

Synchrony Pharmacy, a subsidiary of Trilogy Health Services LLC, is seeking a Pharmacy Billing Associate for the Pharmacy divison.

We invite you to learn more about our unique culture and the exciting opportunities that exist within our organization.

WHAT WE'RE LOOKING FOR:

Job Summary

Processes and ensures the accuracy and timely issuance of invoices to customers. Provides health care professionals with assistance with Medicare, Medicaid, Prescription Drug Plans (PDP's) and Third-Party Insurances.

Shifts

9:00 AM- 5:30 PM

11:00 AM - 7:30 PM

2:00 PM - 10:30 PM

Roles and Responsibilities

  • Generate and submit claims to insurance providers.
  • Verify the accuracy of prescription orders, patient information, and insurance details before billing.
  • Monitor claim status and follow up on rejected or denied claims.
  • Address billing inquiries, resolve disputes, and provide exceptional customer service.
  • Investigate and resolve billing discrepancies and issues with insurance claims.
  • Collaborate with the pharmacy team to resolve complex billing-related problems.
  • Ensure compliance with all billing guidelines and regulations.
  • Verify patient insurance coverage, eligibility, and benefits.
  • Address any discrepancies in coverage and communicate with patients or facilities when needed.
  • Request prior authorization on drugs that are denied for prior authorization.
  • Notify facilities of changes and exceptions when appropriate.
  • Other duties as assigned.

Qualifications

Education: High School / GED

Experience: 1-3 years

Licenses and Certifications

Certified Pharmacy Tech preferred

Physical Requirements

Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during

working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written

communication with co-workers, supervisors, residents, family members, visitors, vendors, and all

business associates outside of the health campus.

pharmacy

WHERE YOU'LL WORK : Location: US-KY-Louisville GET IN TOUCH: Lauren J LIFE AT TRILOGY:

Careers close to home and your heart

Since our founding in 1997, we've been making long-term care better for our residents and more rewarding for our team members. We're a Fortune Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. If you're looking for a place that embraces you for who you are, helps you achieve your full potential, and makes working hard feel less like hard work, then look no further than Trilogy.

APPLY NOW:

As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.

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