Pharmacy Alternatives · 7 hours ago
Pharmacy Billing Coordinator
Pharmacy Alternatives is a specialized pharmacy provider focused on serving individuals with cognitive or intellectual and developmental disabilities. They are seeking a Pharmacy Billing Coordinator II responsible for the accurate and timely adjudication of prescriptions and training new hires, while maintaining billing accuracy and supporting pharmacy operations.
Health CareMedicalPharmaceutical
Responsibilities
Ensure the accuracy and timely adjudication of resident billing and re-billing through Medicare Part B & D, Medicaid, Hospice, and Private Insurance Plans
Daily, weekly, and monthly review and resolution of unbilled claims
Review monthly billing statements for facilities to ensure billing accuracy
Claim research and resolution
Partner with facility contacts when there are issues with claim processing in order to achieve adjudication/payment
Advocate for clients as needed
Communicate with insurance companies as needed
Support for Pharmacy Operations
Utilize Framework, Docutrack, and Fusion in order to complete workflow on daily basis
Provide onsite training for new hires
Assist Implementation Coordinator with integration of new facilities/clients as needed
Handle core billing responsibilities with newly gained contracted facilities onboarding with Pharmacy Alternatives
Maintain and update the Billing Training Manual
Perform other responsibilities as assigned
Qualification
Required
High School Diploma/GED required
Excellent customer service and communication skills, both written and verbal
Ability to prioritize and meet pre-determined deadlines
Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills
Experience in healthcare billing environment (pharmacy preferred)
Familiarization with online claims processing and Medicaid and Medicare billing practices
Proficient with Microsoft Word and Excel required
Preferred
Pharmacy Tech License preferred
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