Pharmacy Billing Associate

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.

Duties

1. Runs daily ECS log report to identify denied claims for Medicare or other insurers.
2. Reviews and completes all denied claims in the ECS log for Medicare and other insurers
3. Requests prior authorization on drugs that are denied for prior authorization.
4. Obtains third-party insurance information on all necessary orders.
5. Bills any non-covered drugs to the appropriate party
6. Enters debit/credit adjustments in Framework as needed. Complete the Framework Adjustment Form and forward a copy to the Accounting Department.
7. Ensures patient profiles are updated with payor changes and exceptions.
8. Notifies facilities of changes and exceptions when appropriate.
9. Processes and prints all monthly facility invoices.
10. Assists with special projects as needed.
11. Meets Expectations of Excellence for position.
12. Supports location, departmental goals, and the overall objectives of the Company.
13. Complies with all laws, regulations and standards of ethical conduct.
14. Responsible for uncompromising levels of cleanliness and safety.
15. Leads by Example (LBE), upholds and promotes the culture, mission and values of the Company.
16. Performs all job duties with a friendly positive and team-oriented approach.
17. Maintains professional/technical competencies and proficiencies for job responsibilities.
18. Complies with all Company policies, procedures, rules and standards.

Qualifications

• High School diploma or equivalent.

Licenses/Certifications

• Kentucky registered pharmacy technician or eligible.

Experience

• One (1) to three (3) years’ billing experience. Healthcare, senior living industry, pharmacy or long-term care environment preferred.
• One (1) to three (3) year’s Medicare Part D experience.
• Minimum one (1) year multi-facility experience preferred.
• Exemplary computer skills that include knowledge of the Microsoft Office Suite of products.

Let’s talk about benefits.

• Competitive salaries and weekly pay
• Wage increases EVERY quarter
• Student loan repayment, scholarships, and tuition reimbursement
• Health, dental, vision, and life insurance kick in on the first of the month after your start date
• 401(k) Match
• Bonuses for attendance, referrals, and gas
• Quarterly employee recognition ceremonies
• And so much more!

Job Type: Full-time

Pay: $20.00 - $24.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Physical setting:

• Inpatient
• Long term care

Schedule:

• 8 hour shift
• Monday to Friday
• Rotating weekends
• Weekends as needed

Work Location: In person

Salary : $17 - $23