Pharmacy Alternatives · 2 days ago
Pharmacy Billing Technician
Pharmacy Alternatives is a specialized pharmacy provider focused on serving individuals with cognitive or intellectual and developmental disabilities. They are seeking a Pharmacy Billing Technician to manage facility billing, ensure compliance with pharmacy billing requirements, and provide exceptional customer service.
Health CareMedicalPharmaceutical
Responsibilities
Maintains current knowledge in pharmacy billing requirements related to facility (Medicare A & Managed Care), commercial third party and Medicare Part D
Demonstrate a clear understanding and commitment to the customer first vision and communicates the philosophy and mission both within the organization to associates in their department and when externally representing the organization
Provide management oversight and direction for facility billing for multiple customers or customer chain. Duties include staff development and accountability, billing quality, Prior Authorization, Claim Overrides and customer service
Validate Admissions payer information if missing from New Admissions
Participates 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
Performs other tasks as assigned
Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
Qualification
Required
High School diploma or equivalent
Two years of Billing and Customer Service experience
Licenses/Certifications: As required by government regulations and business needs
Detail oriented; goal oriented, team player, oral communication
Preferred
Experience in a healthcare billing environment (pharmacy preferred)
Familiar with online claims processing and Medicaid and Medicare billing practices
Benefits
DailyPay
Flexible schedules
Competitive pay
Health, dental, vision and life insurance benefits
Company paid STD and LTD
Tuition Assistance
Employee Discount Program
401k
Paid time off
Tuition reimbursement
Company
Pharmacy Alternatives
Pharmacy Alternatives serves individuals with intellectual and developmental disabilities.
Funding
Current Stage
Growth StageCompany data provided by crunchbase