Job description
Pharmacy Billing Specialist
Synergy Pharmacy Services is seeking a full-time billing specialist to join our team. We are a full touch, customer centric pharmacy who offers the highest quality services. Our ideal candidate is a highly motivated individual who thrives in a team environment and possesses critical thinking skills.
Schedule: Monday through Friday, 7:30 am to 4:00 pm, in a professional office
Responsibilities:
- Adjudicate, move, and work daily prescription rejections timely.
- Batch and submit cycle prescriptions to third party payers, resolve all denials before prescriptions are delivered.
- Process daily censuses including all face sheet demographics, financially responsible payer info and Medicare, Medicaid or Commercial insurance status.
- On a biweekly basis, review prebilling reports to identify any discrepancies and reconcile as needed.
- Handle all aspects of facility and private billing for assigned facilities monthly.
- Work with providers, pharmacy staff, and nursing to notify when prior authorizations are needed and complete prior authorizations in a timely manner.
- Communicate with all facility clinical and administrative staff professionally, efficiently, and effectively via email and phone.
- Assist with third party audits including researching scripts and reviewing for accuracy.
Qualifications:
- Experience in long term care or retail pharmacy environment
- 1 to 3 years of pharmacy billing experience
- Communication, problem solving, and organizational skills necessary.
- Must be able to work in a fast-paced environment and meet deadlines.
- Strong Customer Service skills
- Knowledge of Microsoft Office 365
Preferred:
- FrameworkLTC and SAGE 300 experience
- 1 year of pharmacy technician experience and long-term care experience
Job Types: Full-time, Part-time
Expected hours: No less than 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Work setting:
Education:
- High school or equivalent (Required)
Experience:
- Long term care or retail pharmacy: 1 year (Preferred)
- Framework LTC and Sage 300: 1 year (Preferred)
Ability to Relocate:
- West Norriton, PA: Relocate before starting work (Required)
Work Location: In person