Pharmacy Billing Representative jobs in United States
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Westminster Communities of Florida · 1 week ago

Pharmacy Billing Representative

Westminster Communities of Florida is seeking a full-time Pharmacy Billing Representative to join their team in Orlando. This role is responsible for providing expertise in Medicare, Medicaid, and Prescription Drug Plans while assisting healthcare professionals and residents with billing inquiries and enrollment processes.

Non ProfitRetirement
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Growth Opportunities

Responsibilities

Responsible for resolution of Rejections, Denials, and PA’s associated with third party insurance claims, e.g. PDPs, Medicaid, etc
Communication liaison regarding Medicare Part D coverage and PDPs with various business partners and stakeholders
Educates the staff on proper PA processes. Maintain accurate resident profiles
Answer incoming calls
Advises resident and appropriate parties on PDP options available
Prepares various reports as requested by management, customers and residents
Data Entry support, as needed
Billing responsibilities for assigned customers

Qualification

Pharmacy billing experienceMedicareMedicaidWordExcelPDPsThird-Party Insurance knowledgeData entry supportOrganizational skillsProblem solving skillsCritical thinking skills

Required

High School Diploma or equivalent
Proficiency in Word and Excel
1-3 years LTC Pharmacy billing experience
1-3 years' experience with Frameworks
Ability to demonstrate strong organizational skills including the ability to prioritize and manage multiple tasks in a dynamic environment
Ability to demonstrate problem solving and critical thinking skills
Knowledge of Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances
Knowledge of Pharmacy's computer software and the ability to process medication orders

Company

Westminster Communities of Florida

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Westminster Communities of Florida is a faith-based non-profit organization serving more than 6,500 residents in 18 communities.

Funding

Current Stage
Late Stage

Leadership Team

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Terry Rogers
President/CEO
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Garry Hennis
Chief Operating Officer
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Company data provided by crunchbase